EVA PAGOULATOS


Address: 7300 W Camino Real Ste 204, Boca Raton, FL 33433-5518
Phone: 5613688686

EVA PAGOULATOS (NPI# 1629594791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629594791
Entity Type Individual
Full Name EVA PAGOULATOS
Credential PSY.D.
Practice Address 7300 W Camino Real Ste 204
Boca Raton
FL 33433-5518
Mailing Address 13155 Ixora Ct Apt 305
North Miami
FL 33181-2337
Practice Telephone 5613688686
Enumeration Date 2017-08-20
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY8721 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
13155 Ixora Ct #305, North Miami, FL 33181 3055868077

Office Location

Street Address 7300 W CAMINO REAL STE 204
City BOCA RATON
State FL
Zip Code 33433-5518

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1104224211 Edan M Alcalay Psychologist 7700 Congress Ave Ste 2207, Boca Raton, FL 33487-1361 2014-12-06
1518302009 Jerri V Sendach Psychologist 11805 Watercrest Ln, Boca Raton, FL 33498-6214 2013-05-09
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Competitor

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City BOCA RATON
Zip Code 33433

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Dataset Information

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.

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