Organization
10TH AVE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BARLOW (PRESIDENT JUPITER PROF DEVELOPMENT)
(561) 748-2889
Entity
Organization
Contact information
Practice address
3185 BOUTWELL RD, LAKE WORTH, FL 33461-2610
(561) 533-0074
Mailing address
PO BOX 7240, JUPITER, FL 33468-7240
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
ME83014
FL
Other
Enumeration date
06/30/2010
Last updated
10/15/2012
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