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Cerebral Medical Group, P.A.

Psychiatry & Neurology, Psychiatry in Plantation, FL. Organization (NPI-2).

NPI number1407459985
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1407459985
Entity type
Organization (NPI-2)
Legal business name
Cerebral Medical Group, P.A.
Organization subpart
No
Enumeration date
Nov 18, 2020
Certification date
Dec 22, 2023
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry––Yes
251S00000X Community/Behavioral Health––

Practice location

1200 S Pine Island Rd Ste 250
Plantation, FL 33324-4459

Phone 415-830-5946 · Fax 415-651-3458

Mailing address

2093 Philadelphia Pike # 9898
Claymont, DE 19703-2424

Phone 415-830-5946 · Fax 415-651-3458

Authorized official

Michael Boggs
President
4158305946

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