Tay Gaines LLC
NPI #1295991107 in Riviera Beach, Florida
Provider Information
- NPI Number
- 1295991107
- Entity Type
- Organization
- Organization Name
- Tay Gaines LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 30, 2008
- Last Updated
- Sep 2, 2008
Practice Location
- Address
- 4152 BLUE HERON BLVD W
- Address 2
- SUITE 123
- City
- Riviera Beach
- State
- Florida
- ZIP Code
- 33404-4811
- Phone
- (561) 844-7699
Authorized Official
- Name
- DR. TAY GARNETT GAINES, M.D.
- Title
- PRESIDENT/MEMBER
- Phone
- (561) 844-7699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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