Organization
PSYCHIATRY WELLNESS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL LYNN TABORA MD (DIRECTOR)
(602) 696-9272
Entity
Organization
Contact information
Practice address
6801 LAKE WORTH RD STE 213-214, GREENACRES, FL 33467-2955
(561) 444-2351
(561) 469-7089
Mailing address
6801 LAKE WORTH RD STE 213-214, LAKE WORTH, FL 33467-2955
(561) 444-2351
(561) 469-7089
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107183900
—
FL
Enumeration date
03/25/2020
Last updated
09/20/2022
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