NPI 1063763944

Supportive Healthcare INC

Organisation General Practice Physician Delray Beach, FL

Practice location

Address: 14000 S Military Trl, Delray Beach, FL 33484-2610
Phone: (561) 307-1801
Mailing address: 2337 Vintage Dr, Lighthouse Point, FL 33064-6089

Authorised official

Name: Mark Gerhardt
Title: Owner/President
Phone: (561) 234-8881

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Chiropractor

Chiropractic Providers Taxonomy 111N00000X

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Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1063763944
Entity type: Organization
NPI issued: 2 Oct 2012
Record last updated: 20 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.