Provider Demographics
NPI:1689150187
Name:DR. CHRISTINA A REMEK PSYD PA
Entity Type:Organization
Organization Name:DR. CHRISTINA A REMEK PSYD PA
Other - Org Name:CHRISTINA REMEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:REMEK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:561-676-3536
Mailing Address - Street 1:11976 CORAL PL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5612
Mailing Address - Country:US
Mailing Address - Phone:561-676-3536
Mailing Address - Fax:
Practice Address - Street 1:123 NW 13TH ST STE 222
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1619
Practice Address - Country:US
Practice Address - Phone:561-206-4601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health