Organization
OMEGA BEHAVIORCARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE VILVAR MD (PRESIDENT)
(904) 540-3808
Entity
Organization
Contact information
Practice address
9974 EQUUS CIR, BOYNTON BEACH, FL 33472-4320
(904) 540-3808
Mailing address
PO BOX 741482, BOYNTON BEACH, FL 33474-1482
(904) 540-3808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME78304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007803016
AETNA
FL
01
—
2062792
CIGNA
FL
01
—
49862
BCBS FL
FL
01
—
P01412336
MEDICARE RR- PTAN
FL
Enumeration date
07/10/2018
Last updated
03/16/2019
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