PENINA FLUG, LCSW, INC. (NPI# 1083870984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083870984 |
| Entity Type | Organization |
| Organization Name | PENINA FLUG, LCSW, INC. |
| Practice Address |
1900 Glades Rd #352 Boca Raton FL 33431-7378 |
| Mailing Address |
7544 Andorra Pl Boca Raton FL 33433-4958 |
| Practice Telephone | 5613537821 |
| Mailing Telephone | 5613537821 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | PENINA FLUG (OWNER) |
| Authorized Official Telephone | 5613537821 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
1900 GLADES RD #352 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-7378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811016132 | Shari B Kaplan | Social Worker | 1900 Glades Rd, Suite 280, Boca Raton, FL 33431-7378 | 2007-03-28 |
| 1952847287 | Alan Bruce Dautch, P.a. | Chiropractor | 1900 Glades Rd, Suite #100, Boca Raton, FL 33431-7378 | 2017-01-10 |
| 1609204502 | David E Abisror | Psychiatry & Neurology | 1900 Glades Rd, Suite 299, Boca Raton, FL 33431-7378 | 2013-10-31 |
| 1548601636 | Naveed Shafi, Md | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-17 |
| 1801237995 | Injury Treatment Center of South Florida, Inc. | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-17 |
| 1114368743 | Jerald Vizzone, D.o. | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-11 |
| 1134372048 | Sheri T Ginsburg-mantzoor P A | Social Worker | 1900 Glades Rd, Suite 280, Boca Raton, FL 33431-7378 | 2008-10-23 |
| 1548412695 | Sheri Ginsburg Mantzoor | Social Worker | 1900 Glades Rd, Suite 280, Boca Raton, FL 33431-7378 | 2008-10-21 |
| 1265697379 | Adam Michael Friedman | Psychologist | 1900 Glades Rd, Suite 352, Boca Raton, FL 33431-7378 | 2008-07-29 |
| 1962625616 | Neuro Massage Therapist, Inc | Massage Therapist | 1900 Glades Rd, Suite 100, Boca Raton, FL 33431-7378 | 2007-04-11 |
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| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
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| City | BOCA RATON |
| Zip Code | 33431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.