Organization
BEACHSIDE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEMARIE SINCAVAGE (CFO)
(561) 365-3758
Entity
Organization
Contact information
Practice address
1101 54TH ST, WEST PALM BEACH, FL 33407-2419
(561) 365-3758
(772) 448-4029
Mailing address
1101 54TH ST, WEST PALM BEACH, FL 33407-2419
(561) 365-3758
(772) 448-4029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME57053
FL
364SF0001X
Family Health Clinical Nurse Specialist
ARNP3333482
FL
Other
Enumeration date
08/01/2016
Last updated
09/14/2021
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