Organization
OUTPATIENT HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMY AMILCA (RCM MANAGER)
(772) 248-4800
Entity
Organization
Contact information
Practice address
1405 SE GOLDTREE DR STE D, PORT ST LUCIE, FL 34952-7563
(561) 815-2649
Mailing address
401 OLD DIXIE HWY UNIT 3539, JUPITER, FL 33469-2442
(561) 815-2649
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
08/29/2025
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