ISA*0_*          *00*          *ZZ*77148          *ZZ*100000         *100805*0847*U*00401*000008905*1*P*:
GS*HC*77148*77027*20100805*0847*10012*X*004010X098A1
ST*837*0001
BHT*0019*00*QM0000000057*20100805*084737*RP
REF*87*004010X098A1
NM1*41*2*Healthy Palm Beach*****46*77148
PER*IC*Lawrence Decker*TE*5616591270
NM1*40*2*Florida Medicaid*****46*77027
HL*1**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*JOHNATHAN C. GREENFIELD, MD, P.A.*****24*320008416
N3*20423 State Rd. 7*Ste. F6306
N4*Boca Raton*FL*33498
REF*1D*015025800
HL*2*1*22*0
SBR*P*18*******MC
NM1*IL*1*WALLS*CARLY****MI*7567135833
N3*8821 DANIA DR
N4*PALM BEACH GARDENS*FL*33410
DMG*D8*19941008*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017600178*550***21::1*Y*C*Y*Y*B
DTP*435*D8*20100217
REF*G1*1004990828
HI*BK:29634
NM1*82*1*GREENFIELD*JOHNATHAN****XX*1740246180
REF*EI*263356550
REF*1D*264021000
LX*1
SV1*HC:99223*300*UN*1***1
DTP*472*D8*20100218
NM1*82*1*GREENFIELD*JOHNATHAN****XX*1740246180
REF*EI*263356550
REF*1D*264021000
LX*2
SV1*HC:99232*105*UN*1***1
DTP*472*D8*20100219
NM1*82*1*GREENFIELD*JOHNATHAN****XX*1740246180
REF*EI*263356550
REF*1D*264021000
LX*3
SV1*HC:99238*145*UN*1***1
DTP*472*D8*20100220
NM1*82*1*GREENFIELD*JOHNATHAN****XX*1740246180
REF*EI*263356550
REF*1D*264021000
HL*3**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MILLER, JOAN*****XX*1255327672
N3*399 W Camino Gardens Blvd.
N4*Boca Raton*FL*33432
REF*EI*122485079
REF*1D*210917400
HL*4*3*22*0
SBR*P*18*******MC
NM1*IL*1*BLUM*RACHEL****MI*9482913787
N3*4974 NORTH CITATION DR.APT 201
N4*DELRAY BEACH*FL*33445
DMG*D8*19920315*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019370108*175***11::1*Y*C*Y*Y*B
REF*G1*1012490058
HI*BK:30928
NM1*82*1*MILLER*JOAN****XX*1255327672
REF*EI*122485079
REF*1D*210917400
LX*1
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100623
NM1*82*1*MILLER*JOAN****XX*1255327672
REF*EI*122485079
REF*1D*210917400
HL*5**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*6*5*22*0
SBR*P*18*******MC
NM1*IL*1*INES*MARISOL****MI*7602466977
N3*6051 CALLE DEL MAR
N4*WEST PAM BEACH*FL*33415
DMG*D8*19950910*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471442*64***11::1*Y*C*Y*Y*B
REF*G1*0934290656
HI*BK:29690
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*7**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*8*7*22*0
SBR*P*18*******MC
NM1*IL*1*MENDEZ*JULIE****MI*7733373638
N3*4759 N AUSTRALIAN AVE APT 202
N4*WEST PALM BEACH*FL*33407
DMG*D8*19840210*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471445*10***11::1*Y*C*Y*Y*B
REF*G1*1011990569
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*9**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*10*9*22*0
SBR*P*18*******MC
NM1*IL*1*HERNANDEZ*TYLER****MI*7667229741
N3*113 LYMAN PLACE
N4*WEST PALM BEACH*FL*33409
DMG*D8*19970324*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471453*48.5***11::1*Y*C*Y*Y*B
REF*G1*1002890617
HI*BK:30981
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100416
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*11**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*12*11*22*0
SBR*P*18*******MC
NM1*IL*1*FREEZE*MONTENIQUE****MI*7974625562
N3*721 VENETO DRIVE APT 303
N4*LAKE PARK*FL*33403
DMG*D8*19930329*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471454*128***11::1*Y*C*Y*Y*B
REF*G1*1007690216
HI*BK:30981
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*13**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*14*13*22*0
SBR*P*18*******MC
NM1*IL*1*SANTIAGO*ERIC****MI*7840005497
N3*150 BALDWIN BLVD
N4*GREENACRES*FL*33463
DMG*D8*20010412*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471455*128***11::1*Y*C*Y*Y*B
REF*G1*0921190158
HI*BK:30921
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*15**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*16*15*22*0
SBR*P*18*******MC
NM1*IL*1*MENDEZ*JULIE****MI*7733373638
N3*4759 N AUSTRALIAN AVE APT 202
N4*WEST PALM BEACH*FL*33407
DMG*D8*19840210*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471456*73.32***11::1*Y*C*Y*Y*B
REF*G1*1011990569
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*17**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*18*17*22*0
SBR*P*18*******MC
NM1*IL*1*FRANCISCO*YESENIA****MI*7810505050
N3*2185 SANTA CATALINA
N4*WEST PALM BEACH*FL*33415
DMG*D8*20000710*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471457*73.32***11::1*Y*C*Y*Y*B
REF*G1*1010690016
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*19**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*20*19*22*0
SBR*P*18*******MC
NM1*IL*1*CEBERT*DAALUCHI****MI*9474490007
N3*3080 CONGRESS PARK DR APT 825
N4*LAKE WORTH*FL*33461
DMG*D8*20080910*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471459*243.94***11::1*Y*C*Y*Y*B
REF*G1*1014090454
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2010:HO*131.94*UN*9***1
DTP*472*D8*20100520
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100520
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100520
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*21**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*22*21*22*0
SBR*P*18*******MC
NM1*IL*1*GILMORE*KAH MESSE****MI*7812026191
N3*916 WEST 5TTH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*20000730*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471460*288***11::1*Y*C*Y*Y*B
REF*G1*10055900280
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100510
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*23**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*24*23*22*0
SBR*P*18*******MC
NM1*IL*1*GILMORE*KAH MESSE****MI*7812026191
N3*916 WEST 5TTH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*20000730*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471461*63.5***11::1*Y*C*Y*Y*B
REF*G1*10055900280
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100428
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100421
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*25**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*26*25*22*0
SBR*P*18*******MC
NM1*IL*1*FRANCISCO*YESENIA****MI*7810505050
N3*2185 SANTA CATALINA
N4*WEST PALM BEACH*FL*33415
DMG*D8*20000710*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471462*48.5***11::1*Y*C*Y*Y*B
REF*G1*1010690016
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*27**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*28*27*22*0
SBR*P*18*******MC
NM1*IL*1*TOMANEK JR*THOMAS****MI*7756427769
N3*713 S PINE ST
N4*LAKE WORTH*FL*33460
DMG*D8*19990422*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019472538*70***11::1*Y*C*Y*Y*B
REF*G1*0909290236
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100526
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100526
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*29**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*30*29*22*0
SBR*P*18*******MC
NM1*IL*1*PATRICK*TREASURE****MI*7972910472
N3*1398 SUMMIT PINES BLVD APT 841
N4*WEST PALM BEACH*FL*33415
DMG*D8*20040119*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019472539*70***11::1*Y*C*Y*Y*B
REF*G1*0906290622
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100522
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100522
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*31**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*32*31*22*0
SBR*P*18*******MC
NM1*IL*1*NOTTAGE*GERALD****MI*8636043271
N3*2708 VANDIVER DR APT 4C
N4*WEST PALM BEACH*FL*33409
DMG*D8*20050921*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019472544*80***11::1*Y*C*Y*Y*B
REF*G1*091012104001
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HN*32*UN*8***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*33**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*34*33*22*0
SBR*P*18*******MC
NM1*IL*1*ESTIME*WADSON****MI*7771255582
N3*1710 4TH AVE N APT 1001
N4*LAKE WORTH*FL*33460
DMG*D8*19961108*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019472546*48.5***11::1*Y*C*Y*Y*B
REF*G1*0904290635
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100512
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*35**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*36*35*22*0
SBR*P*18*******MC
NM1*IL*1*KETTLER*ELLANA****MI*7942196151
N3*5278 GARDEN HILLS CIRCLE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20010621*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481893*230***11::1*Y*C*Y*Y*B
REF*G1*1001190371
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2000:HP*210*UN*1***1
DTP*472*D8*20100406
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100406
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100629
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*37**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*38*37*22*0
SBR*P*18*******MC
NM1*IL*1*DECHANTS*ANTHONY****MI*7621120576
N3*113 BOBWHITE ROAD
N4*RAYAL PALM BEACH*FL*33411
DMG*D8*19960320*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481897*10***11::1*Y*C*Y*Y*B
REF*G1*1009890599
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100701
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*39**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*40*39*22*0
SBR*P*18*******MC
NM1*IL*1*FUENTES*NANCY****MI*7832915731
N3*2882 CROSLEY DR W
N4*WEST PALM BEACH*FL*33415
DMG*D8*19520408*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481903*10***11::1*Y*C*Y*Y*B
REF*G1*1015590505
HI*BK:29630
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100629
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*41**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*42*41*22*0
SBR*P*18*******MC
NM1*IL*1*HARRELL*SILKKIA****MI*7951610771
N3*633 48TH ST APT 1
N4*WEST PALM BEACH*FL*33407
DMG*D8*20040229*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481904*10***11::1*Y*C*Y*Y*B
REF*G1*1018190025
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100628
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*43**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*44*43*22*0
SBR*P*18*******MC
NM1*IL*1*HARRELL*ALZETA****MI*8618843555
N3*633 48TH ST APT 1
N4*WEST PALM BEACH*FL*33407
DMG*D8*20050606*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481916*10***11::1*Y*C*Y*Y*B
REF*G1*0923190226
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100628
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*45**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*46*45*22*0
SBR*P*18*******MC
NM1*IL*1*ANDERSON*ANTONIO****MI*7679607770
N3*3283 KIRK RD APT 5
N4*LAKE WORTH*FL*33461
DMG*D8*19970520*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481918*384***11::1*Y*C*Y*Y*B
REF*G1*1015990690
HI*BK:3094
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100609
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100622
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*47**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*48*47*22*0
SBR*P*18*******MC
NM1*IL*1*RAMOS*YELICIA****MI*7974981377
N3*5770 SOUTH 38TH STREET
N4*GREENACRES*FL*33463
DMG*D8*20040512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481919*64***11::1*Y*C*Y*Y*B
REF*G1*1010690516
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*49**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*50*49*22*0
SBR*P*18*******MC
NM1*IL*1*MCCLURE*LUKE****MI*7948944435
N3*128 SHERWOOD DR
N4*ROYAL PALM BEACH*FL*33411
DMG*D8*20030826*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481920*60***11::1*Y*C*Y*Y*B
REF*G1*0907790750
HI*BK:31400
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100628
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*51**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*52*51*22*0
SBR*P*18*******MC
NM1*IL*1*CANCINO*LETICIA****MI*8654216344
N3*842 GLENRIDGE DR
N4*WEST PALM BEACH*FL*33405
DMG*D8*19770814*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481921*73.32***11::1*Y*C*Y*Y*B
REF*G1*1012590357
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100623
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*53**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*54*53*22*0
SBR*P*18*******MC
NM1*IL*1*NOTTAGE*GERALD****MI*8636043271
N3*2708 VANDIVER DR APT 4C
N4*WEST PALM BEACH*FL*33409
DMG*D8*20050921*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481922*64***11::1*Y*C*Y*Y*B
REF*G1*091012104001
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*55**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*56*55*22*0
SBR*P*18*******MC
NM1*IL*1*CANCINO*LETICIA****MI*8654216344
N3*842 GLENRIDGE DR
N4*WEST PALM BEACH*FL*33405
DMG*D8*19770814*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481923*73.32***11::1*Y*C*Y*Y*B
REF*G1*1012590357
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*57**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*58*57*22*0
SBR*P*18*******MC
NM1*IL*1*PERROTTA*TRAVIS****MI*7471045779
N3*8866 SAN ANDROS
N4*WEST PALM BEACH*FL*33411
DMG*D8*19921202*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481924*10***11::1*Y*C*Y*Y*B
REF*G1*1013490199
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100527
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*59**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*60*59*22*0
SBR*P*18*******MC
NM1*IL*1*ESTIME*WADSON****MI*7771255582
N3*1710 4TH AVE N APT 1001
N4*LAKE WORTH*FL*33460
DMG*D8*19961108*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481925*128***11::1*Y*C*Y*Y*B
REF*G1*0904290635
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*61**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*62*61*22*0
SBR*P*18*******MC
NM1*IL*1*HOOKS*SYLVIA****MI*7834766392
N3*1398 SUMMIT PINES BLVD APT 841
N4*WEST PALM BEACH*FL*33415
DMG*D8*20010221*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481926*20***11::1*Y*C*Y*Y*B
REF*G1*0932890285
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100522
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100619
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*63**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*64*63*22*0
SBR*P*18*******MC
NM1*IL*1*JOHNSON*MARQUIS****MI*7888566634
N3*196 BOBWHITE ROAD
N4*ROYAL PALM  BEACH*FL*33411
DMG*D8*19991001*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481927*108***11::1*Y*C*Y*Y*B
REF*G1*1009190501
HI*BK:3094
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*12*UN*1***1
DTP*472*D8*20100528
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*65**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*66*65*22*0
SBR*P*18*******MC
NM1*IL*1*SAAD*NASSIF****MI*7947997365
N3*432 SW 8TH AVE
N4*BOYNTON BEACH*FL*33435
DMG*D8*20031023*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481928*96***11::1*Y*C*Y*Y*B
REF*G1*090121462803
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*96*UN*6***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*67**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*68*67*22*0
SBR*P*18*******MC
NM1*IL*1*PETERSEN*DANIEL****MI*9471525349
N3*11211 S. MILITARY TRL APT 3814
N4*BOYNTON BEACH*FL*33436
DMG*D8*19991210*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481929*256***11::1*Y*C*Y*Y*B
REF*G1*0926190108
HI*BK:30000
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*69**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*70*69*22*0
SBR*P*18*******MC
NM1*IL*1*ESTRELLA*MIGUEL****MI*7990180855
N3*730 BUNKER RD APT 2
N4*WEST PALM BEACH*FL*33405
DMG*D8*20040617*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481930*128***11::1*Y*C*Y*Y*B
REF*G1*1010990002
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*71**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*72*71*22*0
SBR*P*18*******MC
NM1*IL*1*PINO MATA*CASSANDRA****MI*8652367094
N3*3164 MELALUCA DR
N4*WEST PALM BEACH*FL*33406
DMG*D8*20050528*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481931*64***11::1*Y*C*Y*Y*B
REF*G1*0919590445
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*73**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*74*73*22*0
SBR*P*18*******MC
NM1*IL*1*CRUZ*ROGER****MI*7805885591
N3*1831N CHATHAM RD
N4*WEST PALM BEACH*FL*33415
DMG*D8*20000706*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481932*10***11::1*Y*C*Y*Y*B
REF*G1*1016790354
HI*BK:31400
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*75**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*76*75*22*0
SBR*P*18*******MC
NM1*IL*1*DEJESUS*MARISOL****MI*7348325858
N3*609 NORTH WEST AVENUE E
N4*BELLE GLADE*FL*33430
DMG*D8*19790307*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481935*258.6***11::1*Y*C*Y*Y*B
REF*G1*1016790626
HI*BK:29632
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2010:HO*146.6*UN*10***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*77**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*78*77*22*0
SBR*P*18*******MC
NM1*IL*1*MONTE*ELENA****MI*9433351959
N3*155 WATERWAY RD
N4*ROYAL PALM BEACH*FL*33411
DMG*D8*19900421*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481937*133.32***11::1*Y*C*Y*Y*B
REF*G1*1013090251
HI*BK:29600
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*79**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*80*79*22*0
SBR*P*18*******MC
NM1*IL*1*DUNKLEY*RAYNA****MI*8656673653
N3*1013 STATE ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20060310*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481938*64***11::1*Y*C*Y*Y*B
REF*G1*0930190518
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*81**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*82*81*22*0
SBR*P*18*******MC
NM1*IL*1*CRUZ*ALEXANDER****MI*7924852166
N3*2501 NW 24TH ST
N4*BOYNTON BEACH*FL*33436
DMG*D8*20030108*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481939*121.32***11::1*Y*C*Y*Y*B
REF*G1*1013890579
HI*BK:3093
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031:HN*48*UN*1***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*83**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*84*83*22*0
SBR*P*18*******MC
NM1*IL*1*WALDNER-SMITH*KATHARINE****MI*8647582993
N3*315 35TH ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20001026*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481940*272***11::1*Y*C*Y*Y*B
REF*G1*1009190510
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*144*UN*9***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*85**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*86*85*22*0
SBR*P*18*******MC
NM1*IL*1*FERVIL*A'LLANNAH****MI*8629442492
N3*5070 ELMHURST RD APT E
N4*WEST PALM BEACH*FL*33417
DMG*D8*20050122*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481941*64***11::1*Y*C*Y*Y*B
REF*G1*1004390333
HI*BK:30924
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*87**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*88*87*22*0
SBR*P*18*******MC
NM1*IL*1*FLORES-ZAGAL*JOVANIE****MI*7844608161
N3*3174 49TH LN S
N4*LAKE WORTH*FL*33461
DMG*D8*20010409*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481943*260.5***11::1*Y*C*Y*Y*B
REF*G1*0932990352
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100621
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1017:HA*36*UN*3***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*89**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*90*89*22*0
SBR*P*18*******MC
NM1*IL*1*JEAN*TERLINE****MI*7588721235
N3*4905 GULFSTREAM RD
N4*LAKE WORTH*FL*33461
DMG*D8*19900219*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481946*15***11::1*Y*C*Y*Y*B
REF*G1*0932790057
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100606
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*91**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*92*91*22*0
SBR*P*18*******MC
NM1*IL*1*PATRICK*TREASURE****MI*7972910472
N3*1398 SUMMIT PINES BLVD APT 841
N4*WEST PALM BEACH*FL*33415
DMG*D8*20040119*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481948*70***11::1*Y*C*Y*Y*B
REF*G1*0906290622
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100619
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100619
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*93**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*94*93*22*0
SBR*P*18*******MC
NM1*IL*1*SANTOS*VICTOR****MI*7811356261
N3*1712 BRESEE RD
N4*WEST PALM BEACH*FL*33415
DMG*D8*20010409*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481949*73.32***11::1*Y*C*Y*Y*B
REF*G1*0921690183
HI*BK:3094
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*95**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*96*95*22*0
SBR*P*18*******MC
NM1*IL*1*RIOS*JAIMY****MI*7518882337
N3*103 N ARNOLD AVE
N4*LANTANA*FL*33462
DMG*D8*19931222*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481950*128***11::1*Y*C*Y*Y*B
REF*G1*1010490060
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*97**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*98*97*22*0
SBR*P*18*******MC
NM1*IL*1*MCKEE*MICHAEL****MI*7781064381
N3*3 AKRON RD
N4*LAKE WORTH*FL*33467
DMG*D8*19991110*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481951*164***11::1*Y*C*Y*Y*B
REF*G1*1014490273
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*36*UN*3***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*99**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*100*99*22*0
SBR*P*18*******MC
NM1*IL*1*WILSON*KORA****MI*7991872599
N3*901 N SAPODILLA AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*20020824*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481952*400***11::1*Y*C*Y*Y*B
REF*G1*1016190464
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100608
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*101**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*102*101*22*0
SBR*P*18*******MC
NM1*IL*1*DECHANTS*ANTHONY****MI*7621120576
N3*113 BOBWHITE ROAD
N4*RAYAL PALM BEACH*FL*33411
DMG*D8*19960320*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481953*358***11::1*Y*C*Y*Y*B
REF*G1*1009890599
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*144*UN*9***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*144*UN*9***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*103**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*104*103*22*0
SBR*P*18*******MC
NM1*IL*1*GLASPER*MYLENE****MI*3224173025
N3*P.O. BOX 821
N4*WEST PALM BEACH*FL*33402
DMG*D8*19610817*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481954*10***11::1*Y*C*Y*Y*B
REF*G1*0933490439
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*105**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*106*105*22*0
SBR*P*18*******MC
NM1*IL*1*EISENBERG*NICOLE****MI*8608547678
N3*2602 SAWYER TERRACE
N4*WELLINGTON*FL*33414
DMG*D8*19850921*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481955*210***11::1*Y*C*Y*Y*B
REF*G1*100602104002
HI*BK:29690
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2000:HP*210*UN*1***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*107**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*108*107*22*0
SBR*P*18*******MC
NM1*IL*1*MORENO*ELIEZER****MI*7686932893
N3*1989 NORTH WEST 4TH AVENUE
N4*BOCA RATON*FL*33432
DMG*D8*19970407*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481956*192***11::1*Y*C*Y*Y*B
REF*G1*0924590605
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*109**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*110*109*22*0
SBR*P*18*******MC
NM1*IL*1*BATISTA*ROBERT****MI*7846488279
N3*360 BAYSIDE RD
N4*PALM SPRINGS*FL*33461
DMG*D8*20010702*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481957*176.5***11::1*Y*C*Y*Y*B
REF*G1*1008990663
HI*BK:30921
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*111**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*112*111*22*0
SBR*P*18*******MC
NM1*IL*1*SERRANO RAMOS*MARITZA****MI*7867423966
N3*578 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*20011210*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481958*408***11::1*Y*C*Y*Y*B
REF*G1*1004190287
HI*BK:3093
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100526
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100531
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100601
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*5
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100602
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*113**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*114*113*22*0
SBR*P*18*******MC
NM1*IL*1*BATISTA*LUIS****MI*7898325176
N3*360 BAYSIDE RD
N4*PALM SPRINGS*FL*33461
DMG*D8*20020621*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481959*176.5***11::1*Y*C*Y*Y*B
REF*G1*1008990672
HI*BK:30921
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*115**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*116*115*22*0
SBR*P*18*******MC
NM1*IL*1*INES*MARISOL****MI*7602466977
N3*6051 CALLE DEL MAR
N4*WEST PAM BEACH*FL*33415
DMG*D8*19950910*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481960*112.5***11::1*Y*C*Y*Y*B
REF*G1*0934290656
HI*BK:29690
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100610
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*117**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*118*117*22*0
SBR*P*18*******MC
NM1*IL*1*SIMON*DANIEL****MI*8640976481
N3*4835 SUMMIT BLVD
N4*WEST PALM BEACH*FL*33415
DMG*D8*19940329*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481961*576***11::1*Y*C*Y*Y*B
REF*G1*0936390533
HI*BK:31381
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100511
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100512
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100609
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*5
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*119**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*120*119*22*0
SBR*P*18*******MC
NM1*IL*1*BURNEY*SHAQUITA****MI*2345929138
N3*1589 W 15TH STREET APT3
N4*RIVIERA BEACH*FL*33404
DMG*D8*19880327*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481962*70***11::1*Y*C*Y*Y*B
REF*G1*1002890503
HI*BK:29680
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100623
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100623
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*121**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*122*121*22*0
SBR*P*18*******MC
NM1*IL*1*MEDRANO*ISAAC****MI*8682789949
N3*4160 NAPOLI LAKE DRIVE
N4*WEST PALM BEACH*FL*33410
DMG*D8*20050905*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481963*144***11::1*Y*C*Y*Y*B
REF*G1*0930290102
HI*BK:30921
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100524
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100602
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*123**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*124*123*22*0
SBR*P*18*******MC
NM1*IL*1*KENDRICKS JR*MARIO****MI*7792846857
N3*1013 STATE ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20001018*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481965*73.32***11::1*Y*C*Y*Y*B
REF*G1*1010690399
HI*BK:31230
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*125**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*126*125*22*0
SBR*P*18*******MC
NM1*IL*1*ADAMS*BRADLEY****MI*7754996154
N3*1249 ROEBUCK CT
N4*WEST PALM BEACH*FL*33401
DMG*D8*19990319*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481966*70***11::1*Y*C*Y*Y*B
REF*G1*0934190192
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*127**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*128*127*22*0
SBR*P*18*******MC
NM1*IL*1*FRANCISCO*YESENIA****MI*7810505050
N3*2185 SANTA CATALINA
N4*WEST PALM BEACH*FL*33415
DMG*D8*20000710*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481967*121.82***11::1*Y*C*Y*Y*B
REF*G1*1010690016
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*129**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*130*129*22*0
SBR*P*18*******MC
NM1*IL*1*SOTO*ANIER****MI*9462854777
N3*2406 LENA LANE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20030715*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481968*146.64***11::1*Y*C*Y*Y*B
REF*G1*1007590894
HI*BK:31400
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100519
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100601
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*131**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*132*131*22*0
SBR*P*18*******MC
NM1*IL*1*JEAN*TERLINE****MI*7588721235
N3*4905 GULFSTREAM RD
N4*LAKE WORTH*FL*33461
DMG*D8*19900219*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481969*48.5***11::1*Y*C*Y*Y*B
REF*G1*0932790057
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100501
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*133**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*134*133*22*0
SBR*P*18*******MC
NM1*IL*1*MCKEE*MEGAN****MI*7742925338
N3*3 AKRON RD
N4*LAKE WORTH*FL*33467
DMG*D8*19981229*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481970*380***11::1*Y*C*Y*Y*B
REF*G1*1011090470
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*108*UN*9***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*135**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*136*135*22*0
SBR*P*18*******MC
NM1*IL*1*ADORNO*ADRIAN****MI*7882204978
N3*44 SE 14TH ST APT 308
N4*BOCA RATON*FL*33432
DMG*D8*20010504*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481971*128***11::1*Y*C*Y*Y*B
REF*G1*0935590554
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*137**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*138*137*22*0
SBR*P*18*******MC
NM1*IL*1*TOMANEK JR*THOMAS****MI*7756427769
N3*713 S PINE ST
N4*LAKE WORTH*FL*33460
DMG*D8*19990422*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481972*138***11::1*Y*C*Y*Y*B
REF*G1*0909290236
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100524
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*139**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*140*139*22*0
SBR*P*18*******MC
NM1*IL*1*HAYES*CURTAVIUS****MI*7491450946
N3*4263 BEECH DR APT 1
N4*WEST PALM BEACH*FL*33406
DMG*D8*19930419*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481973*96***11::1*Y*C*Y*Y*B
REF*G1*1002690591
HI*BK:31381
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*96*UN*6***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*141**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*142*141*22*0
SBR*P*18*******MC
NM1*IL*1*MARTINEZ*EDITH****MI*7962797975
N3*1520 S CONGRESS AVE APT 4
N4*DELRAY BEACH*FL*33445
DMG*D8*20031107*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481974*128***11::1*Y*C*Y*Y*B
REF*G1*1014890097
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*143**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*144*143*22*0
SBR*P*18*******MC
NM1*IL*1*VAZQUEZ*ARACELY****MI*7624390892
N3*3758 MIL RUN CT
N4*GREENACRES*FL*33463
DMG*D8*19960406*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481975*480***11::1*Y*C*Y*Y*B
REF*G1*0914290189
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100515
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100520
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*5
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100522
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*145**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*146*145*22*0
SBR*P*18*******MC
NM1*IL*1*GILLETTE*TARA****MI*7452764366
N3*1701 N FLAGLER DR APT 209
N4*WEST PALM BEACH*FL*33407
DMG*D8*19801208*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481976*70***11::1*Y*C*Y*Y*B
REF*G1*EB1003990522
HI*BK:30002
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*147**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*148*147*22*0
SBR*P*18*******MC
NM1*IL*1*RAMIREZ*STEPHANIE****MI*7927825879
N3*432 1/2 EL VEDADO APT 1
N4*WEST PALM BEACH*FL*33405
DMG*D8*20030929*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481977*288***11::1*Y*C*Y*Y*B
REF*G1*0928590625
HI*BK:3094
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*149**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*150*149*22*0
SBR*P*18*******MC
NM1*IL*1*PEREZ*GEORGE****MI*7977040484
N3*2265 ESPANA REAL
N4*WEST PALM BEACH*FL*33415
DMG*D8*20040315*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481978*15***11::1*Y*C*Y*Y*B
REF*G1*0821190249
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100601
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*151**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*152*151*22*0
SBR*P*18*******MC
NM1*IL*1*VAZQUEZ*SANTINO****MI*7805015538
N3*4165 PINE AIRE DR
N4*LAKE WORTH*FL*33467
DMG*D8*20001223*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481979*128***11::1*Y*C*Y*Y*B
REF*G1*1005790416
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*153**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*154*153*22*0
SBR*P*18*******MC
NM1*IL*1*ROBERTSON*BAILEY****MI*7729810476
N3*5662 PAPAYA ROAD
N4*WEST PALM BEACH*FL*33413
DMG*D8*19980701*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481981*313.32***11::1*Y*C*Y*Y*B
REF*G1*0925390205
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100604
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*5
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*6
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*155**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*156*155*22*0
SBR*P*18*******MC
NM1*IL*1*JOHNSON*ARIANE****MI*7515855355
N3*7312 PALMDALE DR
N4*BOYNTON BEACH*FL*33436
DMG*D8*19931127*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481982*258.6***11::1*Y*C*Y*Y*B
REF*G1*1015590008
HI*BK:29690
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2010:HO*146.6*UN*10***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*157**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*158*157*22*0
SBR*P*18*******MC
NM1*IL*1*NOTTAGE*GERALD****MI*8636043271
N3*2708 VANDIVER DR APT 4C
N4*WEST PALM BEACH*FL*33409
DMG*D8*20050921*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481983*266***11::1*Y*C*Y*Y*B
REF*G1*091012104001
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HN*32*UN*8***1
DTP*472*D8*20100524
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100526
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100608
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:H2019:HN*32*UN*8***1
DTP*472*D8*20100610
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*5
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*6
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*7
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100621
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*159**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*160*159*22*0
SBR*P*18*******MC
NM1*IL*1*SALAZAR*ASHLEY****MI*7778083493
N3*4302 HILLARY CIR
N4*WEST PALM BEACH*FL*33406
DMG*D8*19991031*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481984*140***11::1*Y*C*Y*Y*B
REF*G1*0920290601
HI*BK:31381
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100626
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100525
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100626
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*161**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*162*161*22*0
SBR*P*18*******MC
NM1*IL*1*FRANCISCO*SANTIAGO****MI*7561592990
N3*4050 VICLIFF RD APT 1
N4*WEST PALM BEACH*FL*33406
DMG*D8*19941008*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481986*112***11::1*Y*C*Y*Y*B
REF*G1*1013790386
HI*BK:31381
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100517
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*163**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*164*163*22*0
SBR*P*18*******MC
NM1*IL*1*JEAN-LOUIS*ELANTRA****MI*7826930391
N3*22 1/2 NW 12TH AVE
N4*DELRAY BEACH*FL*33444
DMG*D8*20010107*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481987*156***11::1*Y*C*Y*Y*B
REF*G1*0904290640
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*12*UN*1***1
DTP*472*D8*20100531
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100609
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*165**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*166*165*22*0
SBR*P*18*******MC
NM1*IL*1*TOMANEK*CHASE****MI*7987398438
N3*713 S PINE ST
N4*LAKE WORTH*FL*33460
DMG*D8*20041008*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481988*198***11::1*Y*C*Y*Y*B
REF*G1*0921790462
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100617
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100524
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100524
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*167**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*168*167*22*0
SBR*P*18*******MC
NM1*IL*1*LETTINGHAM*CAIMILE****MI*9451812989
N3*4011 36TH CT APT 6A
N4*WEST PALM BEACH*FL*33407
DMG*D8*20061107*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481989*73.32***11::1*Y*C*Y*Y*B
REF*G1*0933490127
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*169**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*170*169*22*0
SBR*P*18*******MC
NM1*IL*1*RUIZ PINEDA*KARINA****MI*7961123253
N3*2437 AVENIDA MADRID ESTE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20031008*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481990*146.64***11::1*Y*C*Y*Y*B
REF*G1*E0933490479
HI*BK:3090
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*171**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*172*171*22*0
SBR*P*18*******MC
NM1*IL*1*GILMORE*KAH MESSE****MI*7812026191
N3*916 WEST 5TTH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*20000730*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481991*128***11::1*Y*C*Y*Y*B
REF*G1*10055900280
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*173**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*174*173*22*0
SBR*P*18*******MC
NM1*IL*1*KOON*SELENA****MI*7598533199
N3*627 SILVER BEACH ROAD
N4*LAKE PARK*FL*33403
DMG*D8*19950910*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481992*96***11::1*Y*C*Y*Y*B
REF*G1*0934190507
HI*BK:31381
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100603
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*175**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*176*175*22*0
SBR*P*18*******MC
NM1*IL*1*WATSON*ALEXA****MI*8621624176
N3*2048 BONNIE DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*20041029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481993*292***11::1*Y*C*Y*Y*B
REF*G1*1007590334
HI*BK:31381
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100513
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100522
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100419
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*177**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*178*177*22*0
SBR*P*18*******MC
NM1*IL*1*SAUNDERS*EMMANUEL****MI*9453278700
N3*2716 VANDIVER DR APT 6B
N4*WEST PALM BEACH*FL*33409
DMG*D8*20060929*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481994*73.32***11::1*Y*C*Y*Y*B
REF*G1*1013890007
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*179**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*180*179*22*0
SBR*P*18*******MC
NM1*IL*1*GILMORE*KAH MESSE****MI*7812026191
N3*916 WEST 5TTH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*20000730*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481995*144***11::1*Y*C*Y*Y*B
REF*G1*10055900280
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*181**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*182*181*22*0
SBR*P*18*******MC
NM1*IL*1*WILSON*KORA****MI*7991872599
N3*901 N SAPODILLA AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*20020824*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481996*204***11::1*Y*C*Y*Y*B
REF*G1*E1002590391
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*60*UN*5***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*183**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*184*183*22*0
SBR*P*18*******MC
NM1*IL*1*SERRANO*EFRAIN****MI*7965601991
N3*578 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*20031220*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481998*140***11::1*Y*C*Y*Y*B
REF*G1*0910690694
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100527
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1015:HE*10*UN*1***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100527
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100624
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*185**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*186*185*22*0
SBR*P*18*******MC
NM1*IL*1*CEBERT*DAALUCHI****MI*9474490007
N3*3080 CONGRESS PARK DR APT 825
N4*LAKE WORTH*FL*33461
DMG*D8*20080910*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481999*120***11::1*Y*C*Y*Y*B
REF*G1*1014090454
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*120*UN*10***1
DTP*472*D8*20100620
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*187**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*188*187*22*0
SBR*P*18*******MC
NM1*IL*1*MENDEZ*JULIE****MI*7733373638
N3*4759 N AUSTRALIAN AVE APT 202
N4*WEST PALM BEACH*FL*33407
DMG*D8*19840210*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482000*73.32***11::1*Y*C*Y*Y*B
REF*G1*1011990569
HI*BK:30928
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100614
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*189**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*190*189*22*0
SBR*P*18*******MC
NM1*IL*1*ALVAREZ*ROSA****MI*3329271027
N3*1221 N H STREET APT 1
N4*LAKE WORTH*FL*33460
DMG*D8*19680830*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482001*73.32***11::1*Y*C*Y*Y*B
REF*G1*1000890274
HI*BK:311
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*191**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*192*191*22*0
SBR*P*18*******MC
NM1*IL*1*RAMOS*YELICIA****MI*7974981377
N3*5770 SOUTH 38TH STREET
N4*GREENACRES*FL*33463
DMG*D8*20040512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482002*48.5***11::1*Y*C*Y*Y*B
REF*G1*1010690516
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100622
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*193**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*194*193*22*0
SBR*P*18*******MC
NM1*IL*1*WESLEY*JONIZIA****MI*7936681396
N3*2830 AVENUE S APT D4
N4*WEST PALM BEACH*FL*33404
DMG*D8*20030409*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482004*120***11::1*Y*C*Y*Y*B
REF*G1*1010590195
HI*BK:3093
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*120*UN*10***1
DTP*472*D8*20100510
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*195**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*196*195*22*0
SBR*P*18*******MC
NM1*IL*1*RAMIREZ*NATHALIE****MI*8634518868
N3*PO BOX 7371
N4*WEST PALM BEACH*FL*33405
DMG*D8*20050915*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482005*384***11::1*Y*C*Y*Y*B
REF*G1*0928590622
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100423
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100527
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100531
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100602
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*197**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*198*197*22*0
SBR*P*18*******MC
NM1*IL*1*KENDRICKS*MAURELL****MI*7836012191
N3*1013 STATE ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20010904*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482006*96***11::1*Y*C*Y*Y*B
REF*G1*1002890513
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*199**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*200*199*22*0
SBR*P*18*******MC
NM1*IL*1*WILSON*KODY****MI*7886356667
N3*901 N SAPODILLA AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*20000107*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482007*604***11::1*Y*C*Y*Y*B
REF*G1*1016190527
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100608
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100618
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*60*UN*5***1
DTP*472*D8*20100608
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*4
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100609
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*5
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100615
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*201**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*202*201*22*0
SBR*P*18*******MC
NM1*IL*1*WILSON*KODY****MI*7886356667
N3*901 N SAPODILLA AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*20000107*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019482008*240***11::1*Y*C*Y*Y*B
REF*G1*E1002590440
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100518
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:T1017:HA*60*UN*5***1
DTP*472*D8*20100521
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:T1017:HA*36*UN*3***1
DTP*472*D8*20100607
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*203**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*204*203*22*0
SBR*P*18*******MC
NM1*IL*1*FUENTES*NANCY****MI*7832915731
N3*2882 CROSLEY DR W
N4*WEST PALM BEACH*FL*33415
DMG*D8*19520408*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019650370*-73.32***11::8*Y*C*Y*Y*B
REF*G1*0832290333
REF*F8*1001470367
HI*BK:29630
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HR*-73.32*UN*-4***1
DTP*472*D8*20091218
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*205**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*206*205*22*0
SBR*P*18*******MC
NM1*IL*1*DUNKLEY*RAYNA****MI*8656673653
N3*1013 STATE ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20060310*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019870318*64***11::1*Y*C*Y*Y*B
REF*G1*0930190518
HI*BK:3099
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*207**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*208*207*22*0
SBR*P*18*******MC
NM1*IL*1*RICHARDSON*LATRICE****MI*3069274111
N3*4973 WEDGEWOOD WAY APT 5-F
N4*WEST PALM BEACH*FL*33417
DMG*D8*19881229*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019870319*60***11::1*Y*C*Y*Y*B
REF*G1*1007590490
HI*BK:29680
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100312
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*209**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*210*209*22*0
SBR*P*18*******MC
NM1*IL*1*PACE*DEATRIC****MI*8640830541
N3*2830 AVENUE S APT D4
N4*WEST PALM BEACH*FL*33404
DMG*D8*20050906*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019870321*258.6***11::1*Y*C*Y*Y*B
REF*G1*1010590178
HI*BK:3093
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100415
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H2010:HO*146.6*UN*10***1
DTP*472*D8*20100415
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100415
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*211**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*212*211*22*0
SBR*P*18*******MC
NM1*IL*1*WESLEY*JONIZIA****MI*7936681396
N3*2830 AVENUE S APT D4
N4*WEST PALM BEACH*FL*33404
DMG*D8*20030409*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019870322*258.6***11::1*Y*C*Y*Y*B
REF*G1*1010590195
HI*BK:3093
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2010:HO*146.6*UN*10***1
DTP*472*D8*20100415
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100415
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100415
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*213**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*214*213*22*0
SBR*P*18*******MC
NM1*IL*1*NOTTAGE*GERALD****MI*8636043271
N3*2708 VANDIVER DR APT 4C
N4*WEST PALM BEACH*FL*33409
DMG*D8*20050921*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019870323*48***11::1*Y*C*Y*Y*B
REF*G1*091012104001
HI*BK:3129
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100219
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*215**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*216*215*22*0
SBR*P*18*******MC
NM1*IL*1*HARRISON*ELLA****MI*9261712762
N3*2792 MELALEUCA DRIVE
N4*WEST PALM BEACH*FL*33406
DMG*D8*20070611*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019870324*258.6***11::1*Y*C*Y*Y*B
REF*G1*1012490240
HI*BK:3093
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2010:HO*146.6*UN*10***1
DTP*472*D8*20100504
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100504
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*3
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100504
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*217**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*218*217*22*0
SBR*P*18*******MC
NM1*IL*1*VAZQUEZ*SANTINO****MI*7805015538
N3*4165 PINE AIRE DR
N4*LAKE WORTH*FL*33467
DMG*D8*20001223*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020750198*128***11::7*Y*C*Y*Y*B
REF*G1*1005790416
REF*F8*1009571456
HI*BK:31401
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100317
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*219**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl.*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*220*219*22*0
SBR*P*18*******MC
NM1*IL*1*TURNER*KATHERINE****MI*3103433115
N3*7888 SONOMA SPR CIR APT 108
N4*LAKE WORTH*FL*33463
DMG*D8*19800910*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020750201*60***11::7*Y*C*Y*Y*B
REF*G1*0933490125
REF*F8*1010472812
HI*BK:3004
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100326
NM1*82*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
REF*EI*650789015
REF*1D*070929800
HL*221**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*222*221*22*0
SBR*P*18*******MC
NM1*IL*1*SANCHEZ JR*JOSE****MI*7646908665
N3*PO BOX 2494
N4*BELLE GLADE*FL*33430
DMG*D8*19960516*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1016580127*85***12::1*Y*C*Y*Y*B
REF*G1*E0932190674
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100405
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*223**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*224*223*22*0
SBR*P*18*******MC
NM1*IL*1*SANCHEZ JR*JOSE****MI*7646908665
N3*PO BOX 2494
N4*BELLE GLADE*FL*33430
DMG*D8*19960516*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1016580129*85***11::1*Y*C*Y*Y*B
REF*G1*E0932190674
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100414
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*225**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*226*225*22*0
SBR*P*18*******MC
NM1*IL*1*SANCHEZ JR*JOSE****MI*7646908665
N3*PO BOX 2494
N4*BELLE GLADE*FL*33430
DMG*D8*19960516*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1016580130*85***11::1*Y*C*Y*Y*B
REF*G1*E0932190674
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100421
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*227**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*228*227*22*0
SBR*P*18*******MC
NM1*IL*1*HERNANDEZ*JOLANDA****MI*9482152981
N3*5238 WOODLAND DR
N4*DELRAY BEACH*FL*33484
DMG*D8*20060426*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680122*85***12::1*Y*C*Y*Y*B
REF*G1*1006390832
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100601
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*229**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*230*229*22*0
SBR*P*18*******MC
NM1*IL*1*ALOMAR*NELITZA****MI*9439562234
N3*357 NE 30TH ST
N4*BOCA RATON*FL*33431
DMG*D8*19970411*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018370854*64.5***99::1*Y*C*Y*Y*B
REF*G1*0931490011
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0032:TS*64.5*UN*1***1
DTP*472*D8*20100426
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*231**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*232*231*22*0
SBR*P*18*******MC
NM1*IL*1*ALLEN*JOSHUA****MI*9410108349
N3*5241 CEDAR LAKE ROAD APT 4110
N4*BOYNTON BEACH*FL*33437
DMG*D8*20041121*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380121*85***12::1*Y*C*Y*Y*B
REF*G1*E1015990178
HI*BK:31234*BF:313866
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1:2
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*233**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*234*233*22*0
SBR*P*18*******MC
NM1*IL*1*ALLEN*JOSHUA****MI*9410108349
N3*5241 CEDAR LAKE ROAD APT 4110
N4*BOYNTON BEACH*FL*33437
DMG*D8*20041121*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380122*139***12::1*Y*C*Y*Y*B
REF*G1*E1015990178
HI*BK:31234*BF:313
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0031:HN*139*UN*1***1:2
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*235**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*236*235*22*0
SBR*P*18*******MC
NM1*IL*1*ALLEN*JOSHUA****MI*9410108349
N3*5241 CEDAR LAKE ROAD APT 4110
N4*BOYNTON BEACH*FL*33437
DMG*D8*20041121*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380123*129***99::1*Y*C*Y*Y*B
REF*G1*E1015990178
HI*BK:31234*BF:31382
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0032*129*UN*1***1:2
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*237**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*238*237*22*0
SBR*P*18*******MC
NM1*IL*1*ALLEN*JOSHUA****MI*9410108349
N3*5241 CEDAR LAKE ROAD APT 4110
N4*BOYNTON BEACH*FL*33437
DMG*D8*20041121*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380124*21***99::1*Y*C*Y*Y*B
REF*G1*E1015990178
HI*BK:31234*BF:31383
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0031*21*UN*1***1:2
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*239**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*240*239*22*0
SBR*P*18*******MC
NM1*IL*1*ALOMAR*NELITZA****MI*9439562234
N3*357 NE 30TH ST
N4*BOCA RATON*FL*33431
DMG*D8*19970411*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380125*85***12::1*Y*C*Y*Y*B
REF*G1*0931490011
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100624
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*241**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*242*241*22*0
SBR*P*18*******MC
NM1*IL*1*CARSWELL*ELISHA****MI*7689437176
N3*185 NW 6TH AVE
N4*SOUTH BAY*FL*33493
DMG*D8*19970926*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380126*130***99::1*Y*C*Y*Y*B
REF*G1*0907890002
HI*BK:30981
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*243**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*244*243*22*0
SBR*P*18*******MC
NM1*IL*1*DIAZ*NATALY****MI*7806049959
N3*5107 PINEHURST DR
N4*BOYNTON BEACH*FL*33426
DMG*D8*20000709*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380127*85***12::1*Y*C*Y*Y*B
REF*G1*1010590485
HI*BK:31239
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100622
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*245**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*246*245*22*0
SBR*P*18*******MC
NM1*IL*1*FUCHSLOCHER*GABRIELLE****MI*9490985902
N3*504 EAST TALL OAKS DRIVE
N4*Palm Beach Gardens*FL*33410
DMG*D8*20021030*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380129*85***12::1*Y*C*Y*Y*B
REF*G1*100405470102
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*247**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*248*247*22*0
SBR*P*18*******MC
NM1*IL*1*GALLEGOS JR*FRANCISCO****MI*7790262238
N3*1611 ILENE CT APT 4
N4*DELRAY BEACH*FL*33445
DMG*D8*20000217*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380130*85***12::1*Y*C*Y*Y*B
REF*G1*1004990619
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100622
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*249**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*250*249*22*0
SBR*P*18*******MC
NM1*IL*1*GILLIARD*CAMORI****MI*7738468050
N3*1301 SOUTH FEDERAL HWY APT 1
N4*LAKE WORTH*FL*33460
DMG*D8*19981112*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380131*127.5***99::1*Y*C*Y*Y*B
REF*G1*1015990223
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2010:HO*127.5*UN*6***1
DTP*472*D8*20100619
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*251**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*252*251*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDSON II*MARK****MI*7651539087
N3*513 MANGO DRIVE
N4*WEST PALM BEACH*FL*33415
DMG*D8*19961104*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380132*65***12::1*Y*C*Y*Y*B
REF*G1*1010590010
HI*BK:31381*BF:311
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HO*65*UN*4***1:2
DTP*472*D8*20100623
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*253**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*254*253*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDSON II*MARK****MI*7651539087
N3*513 MANGO DRIVE
N4*WEST PALM BEACH*FL*33415
DMG*D8*19961104*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380133*65***12::1*Y*C*Y*Y*B
REF*G1*1010590010
HI*BK:31381*BF:311
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HO*65*UN*4***1:2
DTP*472*D8*20100617
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*255**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*256*255*22*0
SBR*P*18*******MC
NM1*IL*1*HERNANDEZ*MARCOS****MI*9482152999
N3*5238 WOODLAND DR
N4*DELRAY BEACH*FL*33484
DMG*D8*20040429*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380135*312***53::1*Y*C*Y*Y*B
REF*G1*1012690172
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2000:HP*312*UN*1***1
DTP*472*D8*20100621
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*257**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*258*257*22*0
SBR*P*18*******MC
NM1*IL*1*HOLLANDER*ADRIANNA****MI*7673271273
N3*10249 LEXINGTON LAKES BLVD S
N4*BOYNTON BEACH*FL*33436
DMG*D8*19970411*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380136*85***12::1*Y*C*Y*Y*B
REF*G1*1011190843
HI*BK:30981
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100610
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*259**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*260*259*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*SASHA****MI*7467483945
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*19921105*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380137*64.5***99::1*Y*C*Y*Y*B
REF*G1*1011990410
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0032:TS*64.5*UN*1***1
DTP*472*D8*20100627
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*261**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*262*261*22*0
SBR*P*18*******MC
NM1*IL*1*MARTINEZ*BRANDON****MI*9430733885
N3*3707 PATIO CT
N4*LAKE WORTH*FL*33461
DMG*D8*20000211*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380138*129***99::1*Y*C*Y*Y*B
REF*G1*1007190602
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0032*129*UN*1***1
DTP*472*D8*20100614
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*263**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*264*263*22*0
SBR*P*18*******MC
NM1*IL*1*RODRIGUEZ*ELVIN****MI*7791632047
N3*420 NE 17TH AVE APT 7
N4*BOYNTON BEACH*FL*33435
DMG*D8*19991114*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380139*65***11::1*Y*C*Y*Y*B
REF*G1*1016790199
HI*BK:31401
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HO*65*UN*4***1
DTP*472*D8*20100615
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*265**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*266*265*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*TENYSHA****MI*9479523949
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19950915*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080086*85***12::1*Y*C*Y*Y*B
REF*G1*1017990126
HI*BK:29630
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100622
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*267**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*268*267*22*0
SBR*P*18*******MC
NM1*IL*1*DIAZ*NATALY****MI*7806049959
N3*5107 PINEHURST DR
N4*BOYNTON BEACH*FL*33426
DMG*D8*20000709*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080090*85***12::1*Y*C*Y*Y*B
REF*G1*1010590485
HI*BK:31239
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100629
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*269**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*270*269*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*PATRISHA****MI*9479523931
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19990110*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019780096*85***12::1*Y*C*Y*Y*B
REF*G1*1017990120
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100622
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*271**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*272*271*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*PATRISHA****MI*9479523931
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19990110*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019780097*85***12::1*Y*C*Y*Y*B
REF*G1*1017990120
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100617
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*273**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*274*273*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*PATRISHA****MI*9479523931
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19990110*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019780098*85***12::1*Y*C*Y*Y*B
REF*G1*1017990120
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100629
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*275**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*276*275*22*0
SBR*P*18*******MC
NM1*IL*1*FUCHSLOCHER*GABRIELLE****MI*9490985902
N3*504 EAST TALL OAKS DRIVE
N4*Palm Beach Gardens*FL*33410
DMG*D8*20021030*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019780105*85***12::1*Y*C*Y*Y*B
REF*G1*100405470102
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100705
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*277**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*278*277*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDSON II*MARK****MI*7651539087
N3*513 MANGO DRIVE
N4*WEST PALM BEACH*FL*33415
DMG*D8*19961104*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019780108*65***12::1*Y*C*Y*Y*B
REF*G1*1010590010
HI*BK:31381*BF:311
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HO*65*UN*4***1:2
DTP*472*D8*20100706
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*279**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*280*279*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*PATRISHA****MI*9479523931
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19990110*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020480368*85***12::1*Y*C*Y*Y*B
REF*G1*1017990120
HI*BK:3094
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100712
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*281**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*282*281*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*TENYSHA****MI*9479523949
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19950915*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020480369*129***99::1*Y*C*Y*Y*B
REF*G1*1017990126
HI*BK:29630
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H0032*129*UN*1***1
DTP*472*D8*20100714
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*283**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*284*283*22*0
SBR*P*18*******MC
NM1*IL*1*CALDEIRA*TENYSHA****MI*9479523949
N3*9880 GRAND VERDE WAY APT 1602
N4*BOCA RATON*FL*33428
DMG*D8*19950915*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020480370*85***12::1*Y*C*Y*Y*B
REF*G1*1017990126
HI*BK:29630
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100712
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*285**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*286*285*22*0
SBR*P*18*******MC
NM1*IL*1*DIAZ*NATALY****MI*7806049959
N3*5107 PINEHURST DR
N4*BOYNTON BEACH*FL*33426
DMG*D8*20000709*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020480373*85***12::1*Y*C*Y*Y*B
REF*G1*1010590485
HI*BK:31239
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100706
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*287**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*288*287*22*0
SBR*P*18*******MC
NM1*IL*1*DIAZ*NATALY****MI*7806049959
N3*5107 PINEHURST DR
N4*BOYNTON BEACH*FL*33426
DMG*D8*20000709*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020480374*85***12::1*Y*C*Y*Y*B
REF*G1*1010590485
HI*BK:31239
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100714
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*289**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*3rd Fl.
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*290*289*22*0
SBR*P*18*******MC
NM1*IL*1*FUCHSLOCHER*GABRIELLE****MI*9490985902
N3*504 EAST TALL OAKS DRIVE
N4*Palm Beach Gardens*FL*33410
DMG*D8*20021030*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020480379*85***12::1*Y*C*Y*Y*B
REF*G1*100405470102
HI*BK:3099
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
LX*1
SV1*HC:H2019:HR*85*UN*4***1
DTP*472*D8*20100712
NM1*82*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
REF*EI*201966531
REF*1D*075982100
HL*291**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*292*291*22*0
SBR*P*18*******MC
NM1*IL*1*CARSWELL*ELISHA****MI*7689437176
N3*185 NW 6TH AVE
N4*SOUTH BAY*FL*33493
DMG*D8*19970926*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680105*130***12::1*Y*C*Y*Y*B
REF*G1*0907890002
HI*BK:30981
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100614
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*293**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*294*293*22*0
SBR*P*18*******MC
NM1*IL*1*CARSWELL*ELISHA****MI*7689437176
N3*185 NW 6TH AVE
N4*SOUTH BAY*FL*33493
DMG*D8*19970926*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680107*130***12::1*Y*C*Y*Y*B
REF*G1*0907890002
HI*BK:30981
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100607
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*295**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*296*295*22*0
SBR*P*18*******MC
NM1*IL*1*HERNANDEZ*MARCOS****MI*9482152999
N3*5238 WOODLAND DR
N4*DELRAY BEACH*FL*33484
DMG*D8*20040429*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680115*97.5***12::1*Y*C*Y*Y*B
REF*G1*1012690172
HI*BK:3099
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*97.5*UN*6***1
DTP*472*D8*20100615
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*297**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*298*297*22*0
SBR*P*18*******MC
NM1*IL*1*HERNANDEZ*MARCOS****MI*9482152999
N3*5238 WOODLAND DR
N4*DELRAY BEACH*FL*33484
DMG*D8*20040429*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680118*65***12::1*Y*C*Y*Y*B
REF*G1*1012690172
HI*BK:3099
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*65*UN*4***1
DTP*472*D8*20100609
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*299**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*300*299*22*0
SBR*P*18*******MC
NM1*IL*1*LETTMAN*CAMBRIA****MI*9461311516
N3*5221 WHITE OLEANDER
N4*WEST PALM BEACH*FL*33415
DMG*D8*20021219*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680124*65***12::1*Y*C*Y*Y*B
REF*G1*E1012490861
HI*BK:30924*BF:99553
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*65*UN*4***1:2
DTP*472*D8*20100615
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*301**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*302*301*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*IRVIN****MI*7537240388
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*19940402*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680126*130***12::1*Y*C*Y*Y*B
REF*G1*1011990404
HI*BK:31282
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100609
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*303**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*304*303*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*IRVIN****MI*7537240388
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*19940402*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680127*130***12::1*Y*C*Y*Y*B
REF*G1*1011990404
HI*BK:31282
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100616
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*305**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*306*305*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*SASHA****MI*7467483945
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*19921105*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680129*130***99::1*Y*C*Y*Y*B
REF*G1*1011990410
HI*BK:3099
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100616
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*307**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*308*307*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*FAITH****MI*7802468230
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*20000410*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680130*130***99::1*Y*C*Y*Y*B
REF*G1*1011790345
HI*BK:3093
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100616
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*309**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*310*309*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*SASHA****MI*7467483945
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*19921105*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017680132*130***12::1*Y*C*Y*Y*B
REF*G1*1011990410
HI*BK:3099
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100612
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*311**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*312*311*22*0
SBR*P*18*******MC
NM1*IL*1*CARSWELL*ELISHA****MI*7689437176
N3*185 NW 6TH AVE
N4*SOUTH BAY*FL*33493
DMG*D8*19970926*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080087*65***12::1*Y*C*Y*Y*B
REF*G1*0907890002
HI*BK:30981
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*65*UN*4***1
DTP*472*D8*20100629
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*313**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*314*313*22*0
SBR*P*18*******MC
NM1*IL*1*CHAVERS*KALIYAH****MI*7863217741
N3*513 MANGO DRIVE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20011101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080088*65***12::1*Y*C*Y*Y*B
REF*G1*1010590401
HI*BK:31401
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*65*UN*4***1
DTP*472*D8*20100617
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*315**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*316*315*22*0
SBR*P*18*******MC
NM1*IL*1*CHAVERS*KALIYAH****MI*7863217741
N3*513 MANGO DRIVE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20011101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080089*65***12::1*Y*C*Y*Y*B
REF*G1*1010590401
HI*BK:31401
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*65*UN*4***1
DTP*472*D8*20100623
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*317**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*318*317*22*0
SBR*P*18*******MC
NM1*IL*1*FLUELLEN*WILLIE****MI*2075337021
N3*PO BOX 10333
N4*WEST PALM BEACH*FL*33419
DMG*D8*19570903*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080091*21***53::1*Y*C*Y*Y*B
REF*G1*1018190573
HI*BK:29633
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H0031*21*UN*1***1
DTP*472*D8*20100629
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*319**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*320*319*22*0
SBR*P*18*******MC
NM1*IL*1*FLUELLEN*WILLIE****MI*2075337021
N3*PO BOX 10333
N4*WEST PALM BEACH*FL*33419
DMG*D8*19570903*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080092*227.5***53::1*Y*C*Y*Y*B
REF*G1*1018190573
HI*BK:29633
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2017*227.5*UN*14***1
DTP*472*D8*20100701
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*321**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*322*321*22*0
SBR*P*18*******MC
NM1*IL*1*FLUELLEN*WILLIE****MI*2075337021
N3*PO BOX 10333
N4*WEST PALM BEACH*FL*33419
DMG*D8*19570903*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080094*146.25***53::1*Y*C*Y*Y*B
REF*G1*1018190573
HI*BK:29633
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2017*146.25*UN*9***1
DTP*472*D8*20100629
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*323**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*324*323*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*SASHA****MI*7467483945
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*19921105*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080097*130***12::1*Y*C*Y*Y*B
REF*G1*1011990410
HI*BK:3099
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100623
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*325**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*326*325*22*0
SBR*P*18*******MC
NM1*IL*1*LOPEZ*FAITH****MI*7802468230
N3*725 HANSEN STREET
N4*WEST PALM BEACH*FL*33405
DMG*D8*20000410*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080098*130***12::1*Y*C*Y*Y*B
REF*G1*1011790345
HI*BK:31401
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100623
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*327**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*328*327*22*0
SBR*P*18*******MC
NM1*IL*1*RODRIGUEZ*ELVIN****MI*7791632047
N3*420 NE 17TH AVE APT 7
N4*BOYNTON BEACH*FL*33435
DMG*D8*19991114*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080101*130***99::1*Y*C*Y*Y*B
REF*G1*1016790199
HI*BK:31401
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100703
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*329**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CHRYSALIS CENTER, INC, THE*****XX*1700961646
N3*3521 W Broward Blvd.*FL. 3
N4*Fort Lauderdale*FL*33312
REF*EI*20-1966531
REF*1D*075982100
HL*330*329*22*0
SBR*P*18*******MC
NM1*IL*1*SANTIAGO*MIGUEL****MI*7876556680
N3*420 NE 17TH AVE APT 7
N4*BOYNTON BEACH*FL*33435
DMG*D8*20020201*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019080102*130***99::1*Y*C*Y*Y*B
REF*G1*1012090180
HI*BK:31401
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*130*UN*8***1
DTP*472*D8*20100703
NM1*82*1*CABRERA*NOEL****XX*1811056203
REF*EI*000000000
REF*1D*015025800
HL*331**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAMELOT COMMUNITY CARE*****24*311659302
N3*4910-D Creekside Dr.
N4*Clearwater*FL*33760
REF*1D*015025800
HL*332*331*22*0
SBR*P*18*******MC
NM1*IL*1*JANIAK*EMILY****MI*7840835686
N3*1105 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*19940912*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018380625*128***12::1*Y*C*Y*Y*B
REF*G1*0931490358
HI*BK:311*BF:V7109
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*128*UN*8***1:2
DTP*472*D8*20100625
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
HL*333**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAMELOT COMMUNITY CARE*****24*311659302
N3*4910-D Creekside Dr.
N4*Clearwater*FL*33760
REF*1D*015025800
HL*334*333*22*0
SBR*P*18*******MC
NM1*IL*1*JANIAK*EMILY****MI*7840835686
N3*1105 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*19940912*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018680368*128***12::1*Y*C*Y*Y*B
REF*G1*0931490358
HI*BK:311*BF:V7109
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*128*UN*8***1:2
DTP*472*D8*20100630
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
HL*335**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAMELOT COMMUNITY CARE*****24*311659302
N3*4910-D Creekside Dr.
N4*Clearwater*FL*33760
REF*1D*015025800
HL*336*335*22*0
SBR*P*18*******MC
NM1*IL*1*JANIAK*EMILY****MI*7840835686
N3*1105 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*19940912*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020080320*128***12::1*Y*C*Y*Y*B
REF*G1*0931490358
HI*BK:311*BF:V7109
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*128*UN*8***1:2
DTP*472*D8*20100713
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
HL*337**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAMELOT COMMUNITY CARE*****24*311659302
N3*4910-D Creekside Dr.
N4*Clearwater*FL*33760
REF*1D*015025800
HL*338*337*22*0
SBR*P*18*******MC
NM1*IL*1*JANIAK*EMILY****MI*7840835686
N3*1105 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*19940912*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020080321*128***12::1*Y*C*Y*Y*B
REF*G1*0931490358
HI*BK:311*BF:V7109
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*128*UN*8***1:2
DTP*472*D8*20100708
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
HL*339**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAMELOT COMMUNITY CARE*****24*311659302
N3*4910-D Creekside Dr.
N4*Clearwater*FL*33760
REF*1D*015025800
HL*340*339*22*0
SBR*P*18*******MC
NM1*IL*1*BAHR*JOSEPH****MI*7923651752
N3*2909 WINDSWEPT DR APT 103
N4*LAKE WORTH*FL*33462
DMG*D8*20011204*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020281647*128***12::1*Y*C*Y*Y*B
REF*G1*0931790513
HI*BK:30928*BF:V7109
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*128*UN*8***1:2
DTP*472*D8*20100716
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
HL*341**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAMELOT COMMUNITY CARE*****24*311659302
N3*4910-D Creekside Dr.
N4*Clearwater*FL*33760
REF*1D*015025800
HL*342*341*22*0
SBR*P*18*******MC
NM1*IL*1*BAHR*JOSEPH****MI*7923651752
N3*2909 WINDSWEPT DR APT 103
N4*LAKE WORTH*FL*33462
DMG*D8*20011204*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020780616*128***12::1*Y*C*Y*Y*B
REF*G1*0931790513
HI*BK:30928*BF:V7109
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
LX*1
SV1*HC:H2019:HO*128*UN*8***1:2
DTP*472*D8*20100722
NM1*82*2*CAMELOT COMMUNITY CARE*****24*311659302
REF*1D*015025800
HL*343**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125th St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*344*343*22*0
SBR*P*18*******MC
NM1*IL*1*PAGE*HEIDI****MI*9485575432
N3*7744 DAWSON CT
N4*LAKE WORTH*FL*33467
DMG*D8*19700624*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017600181*100***11::1*Y*C*Y*Y*B
REF*G1*1000490205
HI*BK:30924
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
LX*1
SV1*HC:90862*100*UN*1***1
DTP*472*D8*20100407
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
HL*345**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125th St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*346*345*22*0
SBR*P*18*******MC
NM1*IL*1*MULLANEY*MICHAEL****MI*7426904806
N3*9 URQHART ST APT 8
N4*LAKE WORTH*FL*33461
DMG*D8*19770722*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018872357*100***11::1*Y*C*Y*Y*B
REF*G1*EB1011090126
HI*BK:29631
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
LX*1
SV1*HC:90862*100*UN*1***1
DTP*472*D8*20100617
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
HL*347**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125th St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*348*347*22*0
SBR*P*18*******MC
NM1*IL*1*PAGE*HEIDI****MI*9485575432
N3*7744 DAWSON CT
N4*LAKE WORTH*FL*33467
DMG*D8*19700624*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018900042*100***11::1*Y*C*Y*Y*B
REF*G1*1000490205
HI*BK:30924
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
LX*1
SV1*HC:90862*100*UN*1***1
DTP*472*D8*20100114
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
HL*349**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125th St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*350*349*22*0
SBR*P*18*******MC
NM1*IL*1*ST JOHN*SABRINA****MI*7349374704
N3*1106 WOODBINE RD
N4*WEST PALM BEACH*FL*33417
DMG*D8*19871106*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018970437*250***11::1*Y*C*Y*Y*B
REF*G1*1017290365
HI*BK:29630
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
LX*1
SV1*HC:90801*250*UN*1***1
DTP*472*D8*20100622
NM1*82*1*SOBHAN*TANVEER****XX*1780726836
REF*EI*641386450
REF*1D*279204400
HL*351**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*352*351*22*0
SBR*P*18*******MC
NM1*IL*1*FELICIANO*MIRIAM****MI*7816726546
N3*5830 ERIK WAY
N4*GREENACRES*FL*33463
DMG*D8*19950215*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020370688*620***12::1*Y*C*Y*Y*B
REF*G1*1010690090
HI*BK:311
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100507
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100514
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100521
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*4
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100528
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*5
SV1*HC:H0032*120*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*6
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100611
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*353**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*354*353*22*0
SBR*P*18*******MC
NM1*IL*1*MUNROE*NATHAN****MI*7540099593
N3*4811 LAKE ARJARO DR
N4*WEST PALM BEACH*FL*33407
DMG*D8*19940626*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020370689*320***12::1*Y*C*Y*Y*B
REF*G1*1012090073
HI*BK:311*BF:3026
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100513
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100527
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H0032*120*UN*1***1:2
DTP*472*D8*20100508
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*355**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*356*355*22*0
SBR*P*18*******MC
NM1*IL*1*TOMAS-PEDRO*JULIO****MI*7645351152
N3*822 SOUTH 8TH ST
N4*LAKE WORTH*FL*33463
DMG*D8*19950606*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020370690*100***12::1*Y*C*Y*Y*B
REF*G1*1005590407
HI*BK:31282
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100510
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*357**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*358*357*22*0
SBR*P*18*******MC
NM1*IL*1*FUENTES*SERGIO****MI*8649237045
N3*216 FOXTAIL DR APT A
N4*GREENACRES*FL*33415
DMG*D8*20050603*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020370691*300***12::1*Y*C*Y*Y*B
REF*G1*0935190142
HI*BK:31401*BF:31384
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100430
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100521
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100604
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*359**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*360*359*22*0
SBR*P*18*******MC
NM1*IL*1*PATTERSON*CRISSY****MI*7961759565
N3*126 LAKESHORE DR APT G32
N4*NORTH PALM BEACH*FL*33408
DMG*D8*20030911*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020370692*100***12::1*Y*C*Y*Y*B
REF*G1*1009790432
HI*BK:3129
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100429
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*361**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*362*361*22*0
SBR*P*18*******MC
NM1*IL*1*HENDRICKS*YULONDA****MI*7775654571
N3*1203 W MANGO ST
N4*LANTANA*FL*33452
DMG*D8*19930930*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020370693*600***12::1*Y*C*Y*Y*B
REF*G1*1006890137
HI*BK:31381*BF:311
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100427
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100518
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100524
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*4
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100526
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*5
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100603
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*6
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100607
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*363**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*364*363*22*0
SBR*P*18*******MC
NM1*IL*1*FELICIANO*HERIBERTO****MI*7816726554
N3*5830 ERIK WAY
N4*GREENACRES*FL*33463
DMG*D8*19951227*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020371152*620***12::1*Y*C*Y*Y*B
REF*G1*1010390110
HI*BK:31381
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100507
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100514
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100521
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*4
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100528
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*5
SV1*HC:H0032*120*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*6
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100611
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*365**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*366*365*22*0
SBR*P*18*******MC
NM1*IL*1*AYALA*JOANNA****MI*7807924853
N3*1005 W LAKEWOOD RD
N4*WEST PALM BEACH*FL*33405
DMG*D8*20000614*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020371154*100***12::1*Y*C*Y*Y*B
REF*G1*1002190589
HI*BK:31381*BF:311
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100427
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*367**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*368*367*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDEN*WANAZIA****MI*7979189442
N3*455 CHEERFUL ST APT 208
N4*WEST PALM BEACH*FL*33407
DMG*D8*20040412*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020371155*460***12::1*Y*C*Y*Y*B
REF*G1*1004390443
HI*BK:31401*BF:3129
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100427
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100515
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H0032:TS*60*UN*1***1:2
DTP*472*D8*20100520
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*4
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100527
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*5
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100609
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*369**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*370*369*22*0
SBR*P*18*******MC
NM1*IL*1*WOODSON*ZOE****MI*7816726562
N3*5830 ERIK WAY
N4*GREENACRES*FL*33463
DMG*D8*19991124*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020371156*520***12::1*Y*C*Y*Y*B
REF*G1*1010390114
HI*BK:311
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100507
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100514
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100521
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*4
SV1*HC:H2019:HR*100*UN*4***1
DTP*472*D8*20100528
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*5
SV1*HC:H0032*120*UN*1***1
DTP*472*D8*20100603
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*371**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
N3*2721 Poinsettia Ave.
N4*West Palm Beach*FL*33407
REF*EI*26-1118715
REF*1D*076941000
HL*372*371*22*0
SBR*P*18*******MC
NM1*IL*1*RIOS*JAIMY****MI*7518882337
N3*103 N ARNOLD AVE
N4*LANTANA*FL*33462
DMG*D8*19931222*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020371158*420***12::1*Y*C*Y*Y*B
REF*G1*1009090681
HI*BK:311*BF:31387
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*1
SV1*HC:H0032*120*UN*1***1:2
DTP*472*D8*20100502
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*2
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100530
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*3
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100604
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
LX*4
SV1*HC:H2019:HR*100*UN*4***1:2
DTP*472*D8*20100611
NM1*82*2*MULTICULTURAL C.M.H.C, INC.*****XX*1003087537
REF*EI*261118715
REF*1D*076941000
HL*373**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*FERNANDO STERN, MD*****24*202189374
N3*3700 Washington St.*Ste. 304
N4*Hollywood*FL*33021
REF*1D*015025800
HL*374*373*22*0
SBR*P*18*******MC
NM1*IL*1*JAROSZ*ROZANN****MI*9479136147
N3*3764 COCO LOBA LN
N4*BOYNTON BEACH*FL*33436
DMG*D8*19720115*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572578*100***11::1*Y*C*Y*Y*B
REF*G1*100303460401
HI*BK:29663
NM1*82*1*STERN*FERNANDO****XX*1770678575
REF*EI*042509041
REF*1D*057442200
LX*1
SV1*HC:90862*100*UN*1***1
DTP*472*D8*20100701
NM1*82*1*STERN*FERNANDO****XX*1770678575
REF*EI*042509041
REF*1D*057442200
HL*375**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*376*375*22*0
SBR*P*18*******MC
NM1*IL*1*PARSONS*ALISSA****MI*7822213482
N3*2410 NW 21ST TER
N4*BOYNTON BEACH*FL*33436
DMG*D8*20001029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019570580*525***12::1*Y*C*Y*Y*B
REF*G1*0922490209
HI*BK:29630
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H2019:HO*175*UN*4***1
DTP*472*D8*20100415
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*2
SV1*HC:H2019:HO*350*UN*8***1
DTP*472*D8*20100420
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*377**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*378*377*22*0
SBR*P*18*******MC
NM1*IL*1*THOMAS*ZAKIYYAH****MI*7902932868
N3*736 W OCEAN AVE
N4*BOYNTON BEACH*FL*33426
DMG*D8*20020909*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572377*50***53::1*Y*C*Y*Y*B
REF*G1*0727890081
HI*BK:31401
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032:TS*50*UN*1***1
DTP*472*D8*20100228
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*379**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*380*379*22*0
SBR*P*18*******MC
NM1*IL*1*PARSONS*JORDAN****MI*7659915533
N3*2410 NW 21ST TER
N4*BOYNTON BEACH*FL*33436
DMG*D8*19970120*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572380*125***53::1*Y*C*Y*Y*B
REF*G1*0904390568
HI*BK:31401
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032*125*UN*1***1
DTP*472*D8*20100220
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*381**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*382*381*22*0
SBR*P*18*******MC
NM1*IL*1*PARSONS*ALISSA****MI*7822213482
N3*2410 NW 21ST TER
N4*BOYNTON BEACH*FL*33436
DMG*D8*20001029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572381*125***12::1*Y*C*Y*Y*B
REF*G1*0922490209
HI*BK:29630
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032*125*UN*1***1
DTP*472*D8*20100122
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*383**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*384*383*22*0
SBR*P*18*******MC
NM1*IL*1*CLAY-TAYLOR*LINNORA****MI*3588983139
N3*1350 N DIXIE HWY APT 80
N4*BOCA RATON*FL*33432
DMG*D8*19860810*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572382*50***53::1*Y*C*Y*Y*B
REF*G1*0930090269
HI*BK:2967
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032:TS*50*UN*1***1
DTP*472*D8*20100324
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*385**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*386*385*22*0
SBR*P*18*******MC
NM1*IL*1*KELLY*BARBARA****MI*7815834892
N3*22990 SEASPRAY PL
N4*BOCA RATON*FL*33428
DMG*D8*19770213*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572383*50***53::1*Y*C*Y*Y*B
REF*G1*0932290428
HI*BK:29630
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032:TS*50*UN*1***1
DTP*472*D8*20100523
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*387**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*388*387*22*0
SBR*P*18*******MC
NM1*IL*1*THOMAS*ZAKIYYAH****MI*7902932868
N3*736 W OCEAN AVE
N4*BOYNTON BEACH*FL*33426
DMG*D8*20020909*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572384*50***53::1*Y*C*Y*Y*B
REF*G1*0727890081
HI*BK:31401
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032:TS*50*UN*1***1
DTP*472*D8*20100228
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*389**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*390*389*22*0
SBR*P*18*******MC
NM1*IL*1*PATTON*JESSE****MI*9483615810
N3*22601 MIDDLETOWN DRIVE
N4*BOCA RATON*FL*33428
DMG*D8*19880928*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572386*125***53::1*Y*C*Y*Y*B
REF*G1*1004090076
HI*BK:30002
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032*125*UN*1***1
DTP*472*D8*20100210
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*391**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*392*391*22*0
SBR*P*18*******MC
NM1*IL*1*PARSONS*ALISSA****MI*7822213482
N3*2410 NW 21ST TER
N4*BOYNTON BEACH*FL*33436
DMG*D8*20001029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019572388*125***12::1*Y*C*Y*Y*B
REF*G1*0922490209
HI*BK:29630
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:H0032*125*UN*1***1
DTP*472*D8*20100122
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*393**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SOUTH COUNTY MENTAL HEALTH CENTER,*****24*591519622
N3*16158 S Military Rd.
N4*Delray Beach*FL*33484
REF*1D*060276100
HL*394*393*22*0
SBR*P*18*******MC
NM1*IL*1*PARSONS*ALISSA****MI*7822213482
N3*2410 NW 21ST TER
N4*BOYNTON BEACH*FL*33436
DMG*D8*20001029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019671364*406.25***53::1*Y*C*Y*Y*B
REF*G1*0922490209
HI*BK:31401
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*1
SV1*HC:T1017:HA*250*UN*8***1
DTP*472*D8*20100412
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*2
SV1*HC:T1017:HA*125*UN*4***1
DTP*472*D8*20100427
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
LX*3
SV1*HC:T1017:HA*31.25*UN*1***1
DTP*472*D8*20100428
NM1*82*1*LAUGHLIN*ANN MARIE****XX*1407916349
REF*EI*287445093
REF*1D*253250600
HL*395**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SERMAC, MEDICAL & PSYCH CARE, INC.*****24*650733399
N3*2151 45th St.*Ste. 204
N4*West Palm Beach*FL*33407
REF*1D*015025800
HL*396*395*22*0
SBR*P*18*******MC
NM1*IL*1*ALVAREZ*ROSA****MI*3329271027
N3*1221 N H STREET APT 1
N4*LAKE WORTH*FL*33460
DMG*D8*19680830*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018171076*350***21::1*Y*C*Y*Y*B
DTP*435*D8*20100603
REF*G1*1017290405
HI*BK:29632
NM1*82*1*THYS*SERGE****XX*1750391371
REF*EI*112545519
REF*1D*376590300
LX*1
SV1*HC:99222*350*UN*1***1
DTP*472*D8*20100603
NM1*82*1*THYS*SERGE****XX*1750391371
REF*EI*112545519
REF*1D*376590300
HL*397**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*SERMAC, MEDICAL & PSYCH CARE, INC.*****24*650733399
N3*2151 45th St.*Ste. 204
N4*West Palm Beach*FL*33407
REF*1D*015025800
HL*398*397*22*0
SBR*P*18*******MC
NM1*IL*1*WRIGHT*JESSICA****MI*8602141874
N3*16242 E DURAN BLVD
N4*LOXAHATCHEE*FL*33470
DMG*D8*19870409*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018872359*250***21::1*Y*C*Y*Y*B
DTP*435*D8*20100621
REF*G1*1017290250
HI*BK:29632
NM1*82*1*THYS*SERGE****XX*1750391371
REF*EI*112545519
REF*1D*376590300
LX*1
SV1*HC:99223*250*UN*1***1
DTP*472*D8*20100621
NM1*82*1*THYS*SERGE****XX*1750391371
REF*EI*112545519
REF*1D*376590300
HL*399**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*FISCHER, DIANA R*****XX*1952493678
N3*3898 Via Poincicna Dr.*Ste. 16
N4*Lake Worth*FL*33467
REF*EI*650926612
REF*1D*015025800
HL*400*399*22*0
SBR*P*18*******MC
NM1*IL*1*NORMAN*ADAM****MI*7850405765
N3*12698 HEADWATER CIR
N4*WELLINGTON*FL*33414
DMG*D8*19950617*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018872368*125***11::1*Y*C*Y*Y*B
REF*G1*1006790702
HI*BK:31400
NM1*82*1*FISCHER*DIANA****XX*1952493678
REF*EI*650926612
REF*1D*015025800
LX*1
SV1*HC:90862*125*UN*1***1
DTP*472*D8*20100625
NM1*82*1*FISCHER*DIANA****XX*1952493678
REF*EI*650926612
REF*1D*015025800
HL*401**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*FISCHER, DIANA R*****XX*1952493678
N3*3898 Via Poincicna Dr.*Ste. 16
N4*Lake Worth*FL*33467
REF*EI*650926612
REF*1D*015025800
HL*402*401*22*0
SBR*P*18*******MC
NM1*IL*1*PRY*HELENE****MI*7877584181
N3*2355 STONYBROOK DR
N4*WELLINGTON*FL*33414
DMG*D8*19580815*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018873009*125***11::1*Y*C*Y*Y*B
REF*G1*1016090514
HI*BK:29622
NM1*82*1*FISCHER*DIANA****XX*1952493678
REF*EI*650926612
REF*1D*015025800
LX*1
SV1*HC:90862*125*UN*1***1
DTP*472*D8*20100628
NM1*82*1*FISCHER*DIANA****XX*1952493678
REF*EI*650926612
REF*1D*015025800
HL*403**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*FISCHER, DIANA R*****XX*1952493678
N3*3898 Via Poincicna Dr.*Ste. 16
N4*Lake Worth*FL*33467
REF*EI*650926612
REF*1D*015025800
HL*404*403*22*0
SBR*P*18*******MC
NM1*IL*1*SANTANA*ANA****MI*1636668127
N3*315 NORTH LAKE DR APT 2
N4*LANTANA*FL*33462
DMG*D8*19890105*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019070871*125***11::1*Y*C*Y*Y*B
REF*G1*1008590521
HI*BK:31400
NM1*82*1*FISCHER*DIANA****XX*1952493678
REF*EI*650926612
REF*1D*015025800
LX*1
SV1*HC:90862*125*UN*1***1
DTP*472*D8*20100629
NM1*82*1*FISCHER*DIANA****XX*1952493678
REF*EI*650926612
REF*1D*015025800
HL*405**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*CAUVIN FRETT PSYCHIATRY, LLC*****XX*1376646257
N3*8177 Glades Rd.*Ste. 204
N4*Boca Raton*FL*33428
REF*EI*20-0504885
REF*1D*015025800
HL*406*405*22*0
SBR*P*18*******MC
NM1*IL*1*ROY*CAROLINE****MI*7525385599
N3*3400 PLACE VALENCAY
N4*DELRAY BEACH*FL*33445
DMG*D8*19710719*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018770062*150***11::1*Y*C*Y*Y*B
REF*G1*100505461500
HI*BK:29632
NM1*82*1*FRETT*CAUVIN****XX*1376646257
REF*EI*100487398
REF*1D*259575300
LX*1
SV1*HC:90807*150*UN*1***1
DTP*472*D8*20100517
NM1*82*1*FRETT*CAUVIN****XX*1376646257
REF*EI*100487398
REF*1D*259575300
HL*407**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*NAVA GOLDENHOLZ, PH.D., P.A.*****24*651009284
N3*3132 N. Pine Island Rd.
N4*Sunrise*FL*33351
REF*1D*768528900
HL*408*407*22*0
SBR*P*18*******MC
NM1*IL*1*WEBB*CHRISTINE****MI*7489343691
N3*6762 CANARY PALM CIRCLE
N4*BOCA RATON*FL*33433
DMG*D8*19780814*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018270773*175***11::1*Y*C*Y*Y*B
REF*G1*1016590061
HI*BK:29570
NM1*82*1*GOLDENHOLZ*NAVA****XX*1295895589
REF*EI*269487755
REF*1D*768528900
LX*1
SV1*HC:90801*175*UN*1***1
DTP*472*D8*20100617
NM1*82*1*GOLDENHOLZ*NAVA****XX*1295895589
REF*EI*269487755
REF*1D*768528900
HL*409**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*NAVA GOLDENHOLZ, PH.D., P.A.*****24*651009284
N3*3132 N. Pine Island Rd.
N4*Sunrise*FL*33351
REF*1D*768528900
HL*410*409*22*0
SBR*P*18*******MC
NM1*IL*1*PORTILLA*LANDON****MI*7830505543
N3*4331 VIOLA DRIVE
N4*LAKE WORTH*FL*33463
DMG*D8*20010821*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019472555*525***11::1*Y*C*Y*Y*B
REF*G1*1012790075
HI*BK:311
NM1*82*1*GOLDENHOLZ*NAVA****XX*1295895589
REF*EI*269487755
REF*1D*768528900
LX*1
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100616
NM1*82*1*GOLDENHOLZ*NAVA****XX*1295895589
REF*EI*269487755
REF*1D*768528900
LX*2
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100625
NM1*82*1*GOLDENHOLZ*NAVA****XX*1295895589
REF*EI*269487755
REF*1D*768528900
LX*3
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100702
NM1*82*1*GOLDENHOLZ*NAVA****XX*1295895589
REF*EI*269487755
REF*1D*768528900
HL*411**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125 St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*412*411*22*0
SBR*P*18*******MC
NM1*IL*1*PAGE*HEIDI****MI*9485575432
N3*7744 DAWSON CT
N4*LAKE WORTH*FL*33467
DMG*D8*19700624*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017600180*175***11::1*Y*C*Y*Y*B
REF*G1*1000490205
HI*BK:30924
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
LX*1
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100412
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
HL*413**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125 St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*414*413*22*0
SBR*P*18*******MC
NM1*IL*1*PAGE*HEIDI****MI*9485575432
N3*7744 DAWSON CT
N4*LAKE WORTH*FL*33467
DMG*D8*19700624*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018900035*175***11::1*Y*C*Y*Y*B
REF*G1*1000490205
HI*BK:30924
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
LX*1
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100528
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
HL*415**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125 St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*416*415*22*0
SBR*P*18*******MC
NM1*IL*1*PAGE*HEIDI****MI*9485575432
N3*7744 DAWSON CT
N4*LAKE WORTH*FL*33467
DMG*D8*19700624*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018900044*175***11::1*Y*C*Y*Y*B
REF*G1*1000490205
HI*BK:30924
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
LX*1
SV1*HC:90806*175*UN*1***1
DTP*472*D8*20100119
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
HL*417**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*COMPASS HEALTH SYSTEMS*****XX*1619965795
N3*1065 NE 125 St.*Ste. 409
N4*Miami*FL*33161
REF*EI*65-0199979
REF*1D*374305500
HL*418*417*22*0
SBR*P*18*******MC
NM1*IL*1*ST JOHN*SABRINA****MI*7349374704
N3*1106 WOODBINE RD
N4*WEST PALM BEACH*FL*33417
DMG*D8*19871106*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019470857*250***11::1*Y*C*Y*Y*B
REF*G1*1018190065
HI*BK:29630
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
LX*1
SV1*HC:90801*250*UN*1***1
DTP*472*D8*20100630
NM1*82*1*GARDNER*LEORA****XX*1144338120
REF*EI*570179327
REF*1D*015025800
HL*419**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*420*419*22*0
SBR*P*18*******MC
NM1*IL*1*ALVES DOS SA*VINICIUS****MI*7997314253
N3*3670 VILLAGE DR UNIT B
N4*DELRAY BEACH*FL*33445
DMG*D8*19940125*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017470569*64***11::1*Y*C*Y*Y*B
REF*G1*0902790399
HI*BK:29690
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100518
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*421**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*422*421*22*0
SBR*P*18*******MC
NM1*IL*1*ALLAN*EMILY****MI*9469970471
N3*1531 DREXEL ROAD LOT 206
N4*WEST PALM BEACH*FL*33417
DMG*D8*20081219*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471449*280***11::1*Y*C*Y*Y*B
REF*G1*0924790054
HI*BK:3099
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HN*16*UN*4***1
DTP*472*D8*20100522
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100523
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*192*UN*16***1
DTP*472*D8*20100514
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*4
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100513
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*423**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*424*423*22*0
SBR*P*18*******MC
NM1*IL*1*JEAN-LOUIS*ELANTRA****MI*7826930391
N3*22 1/2 NW 12TH AVE
N4*DELRAY BEACH*FL*33444
DMG*D8*20010107*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471458*276***11::1*Y*C*Y*Y*B
REF*G1*0904290640
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*60*UN*5***1
DTP*472*D8*20100511
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100513
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*72*UN*6***1
DTP*472*D8*20100518
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*425**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*426*425*22*0
SBR*P*18*******MC
NM1*IL*1*MCCLURE*LUKE****MI*7948944435
N3*128 SHERWOOD DR
N4*ROYAL PALM BEACH*FL*33411
DMG*D8*20030826*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019472545*176.5***11::1*Y*C*Y*Y*B
REF*G1*0907790750
HI*BK:31400
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100518
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100320
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*427**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*428*427*22*0
SBR*P*18*******MC
NM1*IL*1*PETERSEN*DANIEL****MI*9471525349
N3*11211 S. MILITARY TRL APT 3814
N4*BOYNTON BEACH*FL*33436
DMG*D8*19991210*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481868*128***11::1*Y*C*Y*Y*B
REF*G1*0926190108
HI*BK:30000
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*429**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*430*429*22*0
SBR*P*18*******MC
NM1*IL*1*ALVAREZ*ROSA****MI*3329271027
N3*1221 N H STREET APT 1
N4*LAKE WORTH*FL*33460
DMG*D8*19680830*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481869*73.32***11::1*Y*C*Y*Y*B
REF*G1*1000890274
HI*BK:311
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*431**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*432*431*22*0
SBR*P*18*******MC
NM1*IL*1*RUIZ PINEDA*KARINA****MI*7961123253
N3*2437 AVENIDA MADRID ESTE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20031008*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481870*73.32***11::1*Y*C*Y*Y*B
REF*G1*E0933490479
HI*BK:3090
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100626
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*433**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*434*433*22*0
SBR*P*18*******MC
NM1*IL*1*AGUILAR*JOSE****MI*7825940849
N3*631 38TH ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20001012*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481871*360***11::1*Y*C*Y*Y*B
REF*G1*1005590023
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100618
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*120*UN*10***1
DTP*472*D8*20100428
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*4
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100502
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*435**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*436*435*22*0
SBR*P*18*******MC
NM1*IL*1*ALLAN*EMILY****MI*9469970471
N3*1531 DREXEL ROAD LOT 206
N4*WEST PALM BEACH*FL*33417
DMG*D8*20081219*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481872*168***11::1*Y*C*Y*Y*B
REF*G1*0924790054
HI*BK:3099
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*437**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*438*437*22*0
SBR*P*18*******MC
NM1*IL*1*ESTRELLA*MIGUEL****MI*7990180855
N3*730 BUNKER RD APT 2
N4*WEST PALM BEACH*FL*33405
DMG*D8*20040617*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481873*128***11::1*Y*C*Y*Y*B
REF*G1*1010990002
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*439**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*440*439*22*0
SBR*P*18*******MC
NM1*IL*1*CRUZ*ALEXANDER****MI*7924852166
N3*2501 NW 24TH ST
N4*BOYNTON BEACH*FL*33436
DMG*D8*20030108*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481874*73.32***11::1*Y*C*Y*Y*B
REF*G1*1013890579
HI*BK:3093
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*441**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*442*441*22*0
SBR*P*18*******MC
NM1*IL*1*WATSON*ALEXA****MI*8621624176
N3*2048 BONNIE DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*20041029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481875*64***11::1*Y*C*Y*Y*B
REF*G1*1007590334
HI*BK:31381
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*443**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*444*443*22*0
SBR*P*18*******MC
NM1*IL*1*BROOKS*MICHELLE****MI*7657558148
N3*5163 MARION PL
N4*WEST PALM BEACH*FL*33407
DMG*D8*19730421*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481876*73.32***11::1*Y*C*Y*Y*B
REF*G1*1016990407
HI*BK:311
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*445**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*446*445*22*0
SBR*P*18*******MC
NM1*IL*1*GILMORE*KAH MESSE****MI*7812026191
N3*916 WEST 5TTH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*20000730*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481877*144***11::1*Y*C*Y*Y*B
REF*G1*10055900280
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*447**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*448*447*22*0
SBR*P*18*******MC
NM1*IL*1*PACE*DEATRIC****MI*8640830541
N3*2830 AVENUE S APT D4
N4*WEST PALM BEACH*FL*33404
DMG*D8*20050906*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481878*73.32***11::1*Y*C*Y*Y*B
REF*G1*1010590178
HI*BK:3093
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*449**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*450*449*22*0
SBR*P*18*******MC
NM1*IL*1*GLASPER*MYLENE****MI*3224173025
N3*P.O. BOX 821
N4*WEST PALM BEACH*FL*33402
DMG*D8*19610817*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481880*73.32***11::1*Y*C*Y*Y*B
REF*G1*0933490439
HI*BK:30928
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*451**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*452*451*22*0
SBR*P*18*******MC
NM1*IL*1*LETTINGHAM*CAIMILE****MI*9451812989
N3*4011 36TH CT APT 6A
N4*WEST PALM BEACH*FL*33407
DMG*D8*20061107*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481881*73.32***11::1*Y*C*Y*Y*B
REF*G1*0933490127
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*453**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*454*453*22*0
SBR*P*18*******MC
NM1*IL*1*ESTIME*WADSON****MI*7771255582
N3*1710 4TH AVE N APT 1001
N4*LAKE WORTH*FL*33460
DMG*D8*19961108*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481882*128***11::1*Y*C*Y*Y*B
REF*G1*0904290635
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*455**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*456*455*22*0
SBR*P*18*******MC
NM1*IL*1*AGUILAR*MARA****MI*7758651658
N3*631 38TH ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*19990327*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481883*243.94***11::1*Y*C*Y*Y*B
REF*G1*1019390574
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:H2010:HO*131.94*UN*9***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*457**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*458*457*22*0
SBR*P*18*******MC
NM1*IL*1*WESLEY*JONIZIA****MI*7936681396
N3*2830 AVENUE S APT D4
N4*WEST PALM BEACH*FL*33404
DMG*D8*20030409*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481884*64***11::1*Y*C*Y*Y*B
REF*G1*1010590195
HI*BK:3093
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*459**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*460*459*22*0
SBR*P*18*******MC
NM1*IL*1*BATISTA*ROBERT****MI*7846488279
N3*360 BAYSIDE RD
N4*PALM SPRINGS*FL*33461
DMG*D8*20010702*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481885*308***11::1*Y*C*Y*Y*B
REF*G1*1008990663
HI*BK:30921
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*36*UN*3***1
DTP*472*D8*20100615
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100617
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*461**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*462*461*22*0
SBR*P*18*******MC
NM1*IL*1*MEDRANO*ISAAC****MI*8682789949
N3*4160 NAPOLI LAKE DRIVE
N4*WEST PALM BEACH*FL*33410
DMG*D8*20050905*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481886*24***11::1*Y*C*Y*Y*B
REF*G1*0930290102
HI*BK:30921
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100608
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*463**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*464*463*22*0
SBR*P*18*******MC
NM1*IL*1*WILSON*KORA****MI*7991872599
N3*901 N SAPODILLA AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*20020824*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481887*356***11::1*Y*C*Y*Y*B
REF*G1*1016190464
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100615
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*36*UN*3***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*4
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*465**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*466*465*22*0
SBR*P*18*******MC
NM1*IL*1*CEBERT*DAALUCHI****MI*9474490007
N3*3080 CONGRESS PARK DR APT 825
N4*LAKE WORTH*FL*33461
DMG*D8*20080910*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481889*176***11::1*Y*C*Y*Y*B
REF*G1*1014090454
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100626
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*467**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*468*467*22*0
SBR*P*18*******MC
NM1*IL*1*FREEZE*MONTENIQUE****MI*7974625562
N3*721 VENETO DRIVE APT 303
N4*LAKE PARK*FL*33403
DMG*D8*19930329*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481890*128***11::1*Y*C*Y*Y*B
REF*G1*1007690216
HI*BK:30981
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100616
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*469**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*470*469*22*0
SBR*P*18*******MC
NM1*IL*1*GILMORE*KAH MESSE****MI*7812026191
N3*916 WEST 5TTH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*20000730*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481891*64***11::1*Y*C*Y*Y*B
REF*G1*10055900280
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*471**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*472*471*22*0
SBR*P*18*******MC
NM1*IL*1*MERALUS*RITCHIE****MI*7752238872
N3*820 5TH STREET
N4*LAKE PARK*FL*33403
DMG*D8*19950901*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481894*146.64***11::1*Y*C*Y*Y*B
REF*G1*1014090444
HI*BK:31381
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100602
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100611
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*473**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*474*473*22*0
SBR*P*18*******MC
NM1*IL*1*SOTO*ANIER****MI*9462854777
N3*2406 LENA LANE
N4*WEST PALM BEACH*FL*33415
DMG*D8*20030715*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481895*73.32***11::1*Y*C*Y*Y*B
REF*G1*1007590894
HI*BK:31400
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*475**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*476*475*22*0
SBR*P*18*******MC
NM1*IL*1*FLORES-ZAGAL*JOVANIE****MI*7844608161
N3*3174 49TH LN S
N4*LAKE WORTH*FL*33461
DMG*D8*20010409*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481896*200***11::1*Y*C*Y*Y*B
REF*G1*0932990352
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*477**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*478*477*22*0
SBR*P*18*******MC
NM1*IL*1*ROBERTSON*BAILEY****MI*7729810476
N3*5662 PAPAYA ROAD
N4*WEST PALM BEACH*FL*33413
DMG*D8*19980701*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481898*169.32***11::1*Y*C*Y*Y*B
REF*G1*0925390205
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*479**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*480*479*22*0
SBR*P*18*******MC
NM1*IL*1*WALDNER-SMITH*KATHARINE****MI*8647582993
N3*315 35TH ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20001026*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481899*128***11::1*Y*C*Y*Y*B
REF*G1*1009190510
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*481**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*482*481*22*0
SBR*P*18*******MC
NM1*IL*1*SERRANO RAMOS*MARITZA****MI*7867423966
N3*578 MANGO DR
N4*WEST PALM BEACH*FL*33415
DMG*D8*20011210*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481901*265.32***11::1*Y*C*Y*Y*B
REF*G1*1004190287
HI*BK:3093
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100524
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100609
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100610
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*483**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*484*483*22*0
SBR*P*18*******MC
NM1*IL*1*BATISTA*LUIS****MI*7898325176
N3*360 BAYSIDE RD
N4*PALM SPRINGS*FL*33461
DMG*D8*20020621*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481902*128***11::1*Y*C*Y*Y*B
REF*G1*1008990672
HI*BK:30921
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*485**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*486*485*22*0
SBR*P*18*******MC
NM1*IL*1*KENDRICKS*MAURELL****MI*7836012191
N3*1013 STATE ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20010904*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481905*144***11::1*Y*C*Y*Y*B
REF*G1*1002890513
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100608
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100609
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100616
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*487**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*488*487*22*0
SBR*P*18*******MC
NM1*IL*1*MCKEE*MICHAEL****MI*7781064381
N3*3 AKRON RD
N4*LAKE WORTH*FL*33467
DMG*D8*19991110*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481906*144***11::1*Y*C*Y*Y*B
REF*G1*1014490273
HI*BK:30928
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*489**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*490*489*22*0
SBR*P*18*******MC
NM1*IL*1*INES*MARISOL****MI*7602466977
N3*6051 CALLE DEL MAR
N4*WEST PAM BEACH*FL*33415
DMG*D8*19950910*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481907*64***11::1*Y*C*Y*Y*B
REF*G1*0934290656
HI*BK:29690
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*491**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*492*491*22*0
SBR*P*18*******MC
NM1*IL*1*HAYES*CURTAVIUS****MI*7491450946
N3*4263 BEECH DR APT 1
N4*WEST PALM BEACH*FL*33406
DMG*D8*19930419*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481908*96***11::1*Y*C*Y*Y*B
REF*G1*1002690591
HI*BK:31381
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*96*UN*6***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*493**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*494*493*22*0
SBR*P*18*******MC
NM1*IL*1*SIMON*DANIEL****MI*8640976481
N3*4835 SUMMIT BLVD
N4*WEST PALM BEACH*FL*33415
DMG*D8*19940329*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481909*176***11::1*Y*C*Y*Y*B
REF*G1*0936390533
HI*BK:31381
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100623
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*495**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*496*495*22*0
SBR*P*18*******MC
NM1*IL*1*MCKEE*MEGAN****MI*7742925338
N3*3 AKRON RD
N4*LAKE WORTH*FL*33467
DMG*D8*19981229*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481910*144***11::1*Y*C*Y*Y*B
REF*G1*1011090470
HI*BK:30928
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*497**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*498*497*22*0
SBR*P*18*******MC
NM1*IL*1*TOMANEK JR*THOMAS****MI*7756427769
N3*713 S PINE ST
N4*LAKE WORTH*FL*33460
DMG*D8*19990422*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481911*128***11::1*Y*C*Y*Y*B
REF*G1*0909290236
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*499**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*500*499*22*0
SBR*P*18*******MC
NM1*IL*1*VAZQUEZ*SANTINO****MI*7805015538
N3*4165 PINE AIRE DR
N4*LAKE WORTH*FL*33467
DMG*D8*20001223*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481912*128***11::1*Y*C*Y*Y*B
REF*G1*1005790416
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*501**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*502*501*22*0
SBR*P*18*******MC
NM1*IL*1*ADORNO*ADRIAN****MI*7882204978
N3*44 SE 14TH ST APT 308
N4*BOCA RATON*FL*33432
DMG*D8*20010504*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481913*128***11::1*Y*C*Y*Y*B
REF*G1*0935590554
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*503**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*504*503*22*0
SBR*P*18*******MC
NM1*IL*1*SAUNDERS*EMMANUEL****MI*9453278700
N3*2716 VANDIVER DR APT 6B
N4*WEST PALM BEACH*FL*33409
DMG*D8*20060929*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481914*73.32***11::1*Y*C*Y*Y*B
REF*G1*1013890007
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*505**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*506*505*22*0
SBR*P*18*******MC
NM1*IL*1*ROSSOLL*MARI****MI*7827207642
N3*716 DOUGLASS AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*19700703*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481915*73.32***11::1*Y*C*Y*Y*B
REF*G1*1002990523
HI*BK:30924
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100625
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*507**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*508*507*22*0
SBR*P*18*******MC
NM1*IL*1*WILSON*KODY****MI*7886356667
N3*901 N SAPODILLA AVE APT 2
N4*WEST PALM BEACH*FL*33401
DMG*D8*20000107*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481917*276***11::1*Y*C*Y*Y*B
REF*G1*1016190527
HI*BK:31401
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100621
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100622
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*108*UN*9***1
DTP*472*D8*20100624
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*509**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*510*509*22*0
SBR*P*18*******MC
NM1*IL*1*ALLAN*EMILY****MI*9469970471
N3*1531 DREXEL ROAD LOT 206
N4*WEST PALM BEACH*FL*33417
DMG*D8*20081219*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019481944*464***11::1*Y*C*Y*Y*B
REF*G1*0924790054
HI*BK:3099
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100611
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:H2019:HN*32*UN*8***1
DTP*472*D8*20100612
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100614
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*4
SV1*HC:H2019:HN*48*UN*12***1
DTP*472*D8*20100616
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*5
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100607
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*6
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100615
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*511**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*512*511*22*0
SBR*P*18*******MC
NM1*IL*1*AGUILAR*JOSE****MI*7825940849
N3*631 38TH ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20001012*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020150162*672***11::7*Y*C*Y*Y*B
REF*G1*1005590023
REF*F8*1013571081
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100312
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100311
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*3
SV1*HC:T1017:HA*96*UN*8***1
DTP*472*D8*20100310
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*4
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100309
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*5
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100308
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*513**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*514*513*22*0
SBR*P*18*******MC
NM1*IL*1*AGUILAR*JOSE****MI*7825940849
N3*631 38TH ST
N4*WEST PALM BEACH*FL*33407
DMG*D8*20001012*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020150165*73.32***12::7*Y*C*Y*Y*B
REF*G1*1005590023
REF*F8*1013571322
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100423
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*515**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*MULTILINGUAL PSYCHOTHERAPY CENTERS,*****XX*1780658153
N3*1639 Forum Pl*Ste. 7
N4*West Palm Beach*FL*33401
REF*EI*65-0789015
REF*1D*070929800
HL*516*515*22*0
SBR*P*18*******MC
NM1*IL*1*GUINAZZO*KAITLYN****MI*9428858196
N3*13693 YARMOUTH CT APT B
N4*WELLINGTON*FL*33414
DMG*D8*19981223*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020150194*144***12::7*Y*C*Y*Y*B
REF*G1*0730990628
REF*F8*1013571097
HI*BK:3129
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
LX*1
SV1*HC:H2019:HO*144*UN*9***1
DTP*472*D8*20100501
NM1*82*1*PAJARES*ALICIA****XX*1659357903
REF*EI*156604989
REF*1D*764835900
HL*517**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PALM BEACH PSYCHIATRIC AND ADDICTIO*****XX*1447275243
N3*1115 45th Street*Ste. 1
N4*West Palm Beach*FL*33407
REF*EI*65-1086438
REF*1D*015025800
HL*518*517*22*0
SBR*P*18*******MC
NM1*IL*1*STEPHEN*MONIKA****MI*7529147331
N3*4700 SELBERG LN
N4*LAKE WORTH*FL*33461
DMG*D8*19770921*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019371844*100***11::1*Y*C*Y*Y*B
REF*G1*0825290805
HI*BK:31401
NM1*82*1*SAHADEO*WOMESH****XX*1386625929
REF*EI*112483680
REF*1D*049719301
LX*1
SV1*HC:90862*100*UN*1***1
DTP*472*D8*20100629
NM1*82*1*SAHADEO*WOMESH****XX*1386625929
REF*EI*112483680
REF*1D*049719301
HL*519**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PALM BEACH PSYCHIATRIC AND ADDICTIO*****XX*1447275243
N3*1115 45th Street*Ste. 1
N4*West Palm Beach*FL*33407
REF*EI*65-1086438
REF*1D*015025800
HL*520*519*22*0
SBR*P*18*******MC
NM1*IL*1*SUTTON*TORY****MI*7597063962
N3*6775 WESTVIEW DR
N4*LAKE WORTH*FL*33462
DMG*D8*19690507*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471084*250***11::1*Y*C*Y*Y*B
REF*G1*1017490522
HI*BK:29624*BF:31400
NM1*82*1*SAHADEO*WOMESH****XX*1386625929
REF*EI*112483680
REF*1D*049719301
LX*1
SV1*HC:90801*250*UN*1***1:2
DTP*472*D8*20100630
NM1*82*1*SAHADEO*WOMESH****XX*1386625929
REF*EI*112483680
REF*1D*049719301
HL*521**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PALM BEACH PSYCHIATRIC AND ADDICTIO*****XX*1447275243
N3*1115 45th Street*Ste. 1
N4*West Palm Beach*FL*33407
REF*EI*65-1086438
REF*1D*015025800
HL*522*521*22*0
SBR*P*18*******MC
NM1*IL*1*ACKER*MELANIE****MI*3224775025
N3*727 SOUTHVIEW DRIVE
N4*JUPITER*FL*33458
DMG*D8*19701114*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019471085*100***11::1*Y*C*Y*Y*B
REF*G1*1011990402
HI*BK:29620*BF:30001
NM1*82*1*SAHADEO*WOMESH****XX*1386625929
REF*EI*112483680
REF*1D*049719301
LX*1
SV1*HC:90862*100*UN*1***1:2
DTP*472*D8*20100628
NM1*82*1*SAHADEO*WOMESH****XX*1386625929
REF*EI*112483680
REF*1D*049719301
HL*523**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*524*523*22*0
SBR*P*18*******MC
NM1*IL*1*GEORGE*LAUREN****MI*7713212329
N3*1909 PINEHURST DR
N4*WEST PALM BEACH*FL*33407
DMG*D8*19951026*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017381558*48.5***11::1*Y*C*Y*Y*B
REF*G1*1013890287
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100527
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*525**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*526*525*22*0
SBR*P*18*******MC
NM1*IL*1*WILLIAMS*FAITH****MI*7917036472
N3*735 FORESTERIA DRIVE
N4*LAKE PARK*FL*33403
DMG*D8*20021120*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017381561*48.5***11::1*Y*C*Y*Y*B
REF*G1*0930090009
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100529
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*527**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*528*527*22*0
SBR*P*18*******MC
NM1*IL*1*DIGIOIA*BRANDIN****MI*9472921680
N3*APT D10
N4*NEW HAVEN*CT*06515
DMG*D8*19950727*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017381567*97***11::1*Y*C*Y*Y*B
REF*G1*1011690365
HI*BK:29690*BF:30723
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1:2
DTP*472*D8*20100429
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*529**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*530*529*22*0
SBR*P*18*******MC
NM1*IL*1*DIGIOIA*BRANDIN****MI*9472921680
N3*APT D10
N4*NEW HAVEN*CT*06515
DMG*D8*19950727*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017381568*73.32***11::1*Y*C*Y*Y*B
REF*G1*1011690365
HI*BK:29690*BF:30723
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1:2
DTP*472*D8*20100429
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*531**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*532*531*22*0
SBR*P*18*******MC
NM1*IL*1*VEACH*TANNER****MI*9485170076
N3*187 DOVE CIR
N4*ROYAL PALM BEACH*FL*33411
DMG*D8*20000427*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017381572*97***11::1*Y*C*Y*Y*B
REF*G1*1013090084
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100514
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*533**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*534*533*22*0
SBR*P*18*******MC
NM1*IL*1*VEACH*TANNER****MI*9485170076
N3*187 DOVE CIR
N4*ROYAL PALM BEACH*FL*33411
DMG*D8*20000427*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017381573*73.32***11::1*Y*C*Y*Y*B
REF*G1*1013090084
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100514
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*535**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*536*535*22*0
SBR*P*18*******MC
NM1*IL*1*MESSINA*MATTHEW****MI*9418299372
N3*5431 EDGERTON AVENUE
N4*LAKE WORTH*FL*33463
DMG*D8*20060127*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1017580617*73.32***11::1*Y*C*Y*Y*B
REF*G1*1018090334
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100603
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*537**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*538*537*22*0
SBR*P*18*******MC
NM1*IL*1*BARBRE*MARGARET****MI*8658529681
N3*4985 WEDGEWOOD WAY APT B
N4*WEST PALM BEACH*FL*33417
DMG*D8*19850523*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181170*60***11::1*Y*C*Y*Y*B
REF*G1*0917590556
HI*BK:29652*BF:30420
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1:2
DTP*472*D8*20100624
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*539**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*540*539*22*0
SBR*P*18*******MC
NM1*IL*1*BERTRAND*TYLER****MI*9472921671
N3*APT D10
N4*NEW HAVEN*CT*06515
DMG*D8*20020225*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181171*60***11::1*Y*C*Y*Y*B
REF*G1*0924590029
HI*BK:31401*BF:7876
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1:2
DTP*472*D8*20100618
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*541**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*542*541*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*PARIS****MI*7970148280
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181172*73.32***12::1*Y*C*Y*Y*B
REF*G1*0923690190
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100608
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*543**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*544*543*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*WANYA****MI*7769321344
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*19990808*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181173*73.32***12::1*Y*C*Y*Y*B
REF*G1*0903690541
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100608
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*545**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*546*545*22*0
SBR*P*18*******MC
NM1*IL*1*DIGIOIA*BRANDIN****MI*9472921680
N3*APT D10
N4*NEW HAVEN*CT*06515
DMG*D8*19950727*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181174*210***11::1*Y*C*Y*Y*B
REF*G1*1011690365
HI*BK:29690*BF:30723
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2000:HP*210*UN*1***1:2
DTP*472*D8*20100618
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*547**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*548*547*22*0
SBR*P*18*******MC
NM1*IL*1*HANNON*DESTINY****MI*7853434995
N3*1302 ALHO DR
N4*LANTANA*FL*33462
DMG*D8*20000321*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181175*73.32***12::1*Y*C*Y*Y*B
REF*G1*10004905460
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100527
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*549**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*550*549*22*0
SBR*P*18*******MC
NM1*IL*1*LEWIS III*ROBERT****MI*7668838431
N3*540 ASPEN RD
N4*WEST PALM BEACH*FL*33409
DMG*D8*19970321*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181176*60***11::1*Y*C*Y*Y*B
REF*G1*1010490122
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100618
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*551**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*552*551*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*KEVIN****MI*7974825049
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20000714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181177*73.32***12::1*Y*C*Y*Y*B
REF*G1*0928690073
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100609
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*553**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*554*553*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*MIKAYLA****MI*7813848845
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20000918*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181178*73.32***12::1*Y*C*Y*Y*B
REF*G1*0932190268
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100609
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*555**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*556*555*22*0
SBR*P*18*******MC
NM1*IL*1*DELOACH*CHANTOYA****MI*1844553116
N3*772 VENETO DR APT 201
N4*LAKE PARK*FL*33403
DMG*D8*19860819*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181179*75***12::1*Y*C*Y*Y*B
REF*G1*1015990127
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*75*UN*4***1
DTP*472*D8*20100609
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*557**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*558*557*22*0
SBR*P*18*******MC
NM1*IL*1*OSBORNE*ANNAYA****MI*9446395852
N3*1325 6TH ST
N4*WEST PALM BEACH*FL*33401
DMG*D8*19960904*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181180*73.32***11::1*Y*C*Y*Y*B
REF*G1*1001290346
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100607
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*559**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*560*559*22*0
SBR*P*18*******MC
NM1*IL*1*PITRE*SARA****MI*7348395449
N3*312 WEST 6TH STREET
N4*PAHOKEE*FL*33476
DMG*D8*19800512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181182*73.32***12::1*Y*C*Y*Y*B
REF*G1*0733090441
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100609
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*561**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*562*561*22*0
SBR*P*18*******MC
NM1*IL*1*WARNICK*IYAN****MI*9456227855
N3*13918 FOLKSTONE CIRCLE
N4*WELLINGTON*FL*33405
DMG*D8*19971006*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181183*128***12::1*Y*C*Y*Y*B
REF*G1*1002990288
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100607
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*563**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*564*563*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*JAVIELIZ****MI*7974825057
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20020920*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181184*96***11::1*Y*C*Y*Y*B
REF*G1*1004390539
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100608
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100615
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*565**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*566*565*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*KEVIN****MI*7974825049
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20000714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181185*73.32***12::1*Y*C*Y*Y*B
REF*G1*0928690073
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*567**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*568*567*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*KEVIN****MI*7974825049
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20000714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181186*144***11::1*Y*C*Y*Y*B
REF*G1*0928690073
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100607
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100608
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*3
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100615
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*569**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*570*569*22*0
SBR*P*18*******MC
NM1*IL*1*CARR*ULYSSES****MI*7770018331
N3*1120 WEST 27TH STREET
N4*RIVIERA BEACH*FL*33404
DMG*D8*19990818*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181187*73.32***11::1*Y*C*Y*Y*B
REF*G1*0929490523
HI*BK:3149*BF:3076
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1:2
DTP*472*D8*20100608
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*571**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*572*571*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDMAN*EMERSON****MI*7969543499
N3*1369 SAILBOAT CIRCLE
N4*WELLINGTON*FL*33414
DMG*D8*19990423*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181188*73.32***12::1*Y*C*Y*Y*B
REF*G1*1009590234
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100610
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*573**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*574*573*22*0
SBR*P*18*******MC
NM1*IL*1*GONZALEZ*RICARDO****MI*7490293553
N3*2247 WHITE PINE CIRCLE APT B
N4*GREENACRES*FL*33415
DMG*D8*19930509*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181189*48.5***11::1*Y*C*Y*Y*B
REF*G1*1006790345
HI*BK:3094*BF:3129
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1:2
DTP*472*D8*20100607
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*575**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*576*575*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018181190*96***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100607
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100615
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*577**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*578*577*22*0
SBR*P*18*******MC
NM1*IL*1*CARRANZA*KEISHA****MI*3736885105
N3*1149 COLONIAL PALMS WAY
N4*WEST PALM BEACH*FL*33406
DMG*D8*19910607*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018280661*73.32***12::1*Y*C*Y*Y*B
REF*G1*1001490015
HI*BK:29632
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*579**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*580*579*22*0
SBR*P*18*******MC
NM1*IL*1*COLLIER*BROOKE****MI*7832105241
N3*1736 LAKE WORTH ROAD APT 205
N4*LAKE WORTH*FL*33460
DMG*D8*19820806*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018280662*219.96***12::1*Y*C*Y*Y*B
REF*G1*1002690289
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100506
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100513
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*3
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100520
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*581**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*582*581*22*0
SBR*P*18*******MC
NM1*IL*1*GARDNER*SAMUEL****MI*9453126209
N3*2107 54TH TRL SOUTH
N4*WEST PALM BEACH*FL*33415
DMG*D8*20061012*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018280663*73.32***11::1*Y*C*Y*Y*B
REF*G1*E1000490562
HI*BK:30981
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100524
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*583**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*584*583*22*0
SBR*P*18*******MC
NM1*IL*1*MESSINA*MATTHEW****MI*9418299372
N3*5431 EDGERTON AVENUE
N4*LAKE WORTH*FL*33463
DMG*D8*20060127*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018280664*73.32***11::1*Y*C*Y*Y*B
REF*G1*1018090334
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100618
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*585**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*586*585*22*0
SBR*P*18*******MC
NM1*IL*1*NAVARRO*MARCIE****MI*8648758599
N3*4195 CROZET CT
N4*WEST PALM BEACH*FL*33409
DMG*D8*19691031*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018280665*146.64***12::1*Y*C*Y*Y*B
REF*G1*1011990528
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100506
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100514
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*587**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*588*587*22*0
SBR*P*18*******MC
NM1*IL*1*GARDNER*SAMUEL****MI*9453126209
N3*2107 54TH TRL SOUTH
N4*WEST PALM BEACH*FL*33415
DMG*D8*20061012*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018381602*73.32***11::1*Y*C*Y*Y*B
REF*G1*E1000490562
HI*BK:30981
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100510
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*589**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*590*589*22*0
SBR*P*18*******MC
NM1*IL*1*VEACH*TANNER****MI*9485170076
N3*187 DOVE CIR
N4*ROYAL PALM BEACH*FL*33411
DMG*D8*20000427*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018381603*73.32***11::1*Y*C*Y*Y*B
REF*G1*1013090084
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100521
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*591**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*592*591*22*0
SBR*P*18*******MC
NM1*IL*1*LEWIS III*ROBERT****MI*7668838431
N3*540 ASPEN RD
N4*WEST PALM BEACH*FL*33409
DMG*D8*19970321*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018381604*180***11::1*Y*C*Y*Y*B
REF*G1*1010490122
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*36*UN*3***1
DTP*472*D8*20100614
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100618
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*593**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*594*593*22*0
SBR*P*18*******MC
NM1*IL*1*DIGIOIA*BRANDIN****MI*9472921680
N3*APT D10
N4*NEW HAVEN*CT*06515
DMG*D8*19950727*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018681254*60***11::1*Y*C*Y*Y*B
REF*G1*1011690365
HI*BK:29690*BF:30723
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1:2
DTP*472*D8*20100625
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*595**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*596*595*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018681255*60***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100624
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*597**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*598*597*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*JAVIELIZ****MI*7974825057
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20020920*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880714*48***11::1*Y*C*Y*Y*B
REF*G1*1004390539
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*599**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*600*599*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*KEVIN****MI*7974825049
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20000714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880715*168***11::1*Y*C*Y*Y*B
REF*G1*0928690073
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*168*UN*14***1
DTP*472*D8*20100617
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*601**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*602*601*22*0
SBR*P*18*******MC
NM1*IL*1*LEWIS III*ROBERT****MI*7668838431
N3*540 ASPEN RD
N4*WEST PALM BEACH*FL*33409
DMG*D8*19970321*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880716*48***11::1*Y*C*Y*Y*B
REF*G1*1010490122
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100622
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*603**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*604*603*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880717*48***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100617
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*605**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*606*605*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880718*15***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20100617
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*607**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*608*607*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*JAVIELIZ****MI*7974825057
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20020920*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880719*216***11::1*Y*C*Y*Y*B
REF*G1*1004390539
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*144*UN*12***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100622
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*3
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100625
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*609**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*610*609*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*KEVIN****MI*7974825049
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20000714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880720*48***11::1*Y*C*Y*Y*B
REF*G1*0928690073
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100623
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*611**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*612*611*22*0
SBR*P*18*******MC
NM1*IL*1*DELOACH*CHANTOYA****MI*1844553116
N3*772 VENETO DR APT 201
N4*LAKE PARK*FL*33403
DMG*D8*19860819*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880721*75***12::1*Y*C*Y*Y*B
REF*G1*1015990127
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*75*UN*4***1
DTP*472*D8*20100622
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*613**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*614*613*22*0
SBR*P*18*******MC
NM1*IL*1*FERNANDEZ*ANNA****MI*7437260085
N3*2941 CHEROKEE AVE
N4*WEST PALM BEACH*FL*33409
DMG*D8*19850404*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880723*97***11::1*Y*C*Y*Y*B
REF*G1*1010990078
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100430
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*615**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*616*615*22*0
SBR*P*18*******MC
NM1*IL*1*LEWIS III*ROBERT****MI*7668838431
N3*540 ASPEN RD
N4*WEST PALM BEACH*FL*33409
DMG*D8*19970321*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880724*24***11::1*Y*C*Y*Y*B
REF*G1*1010490122
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100623
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*617**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*618*617*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880725*48***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100622
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*619**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*620*619*22*0
SBR*P*18*******MC
NM1*IL*1*WALLS*CARLY****MI*7567135833
N3*8821 DANIA DR
N4*PALM BEACH GARDENS*FL*33410
DMG*D8*19941008*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880726*73.32***12::1*Y*C*Y*Y*B
REF*G1*0907790222
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100622
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*621**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*622*621*22*0
SBR*P*18*******MC
NM1*IL*1*GEORGE*LAUREN****MI*7713212329
N3*1909 PINEHURST DR
N4*WEST PALM BEACH*FL*33407
DMG*D8*19951026*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880727*128***12::1*Y*C*Y*Y*B
REF*G1*1013890287
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*623**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*624*623*22*0
SBR*P*18*******MC
NM1*IL*1*LINDSEY*TAMIAH****MI*7905304078
N3*1216 W 34TH ST
N4*WEST PALM BEACH*FL*33404
DMG*D8*20020729*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880728*73.32***12::1*Y*C*Y*Y*B
REF*G1*0927590191
HI*BK:3094*BF:3149
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1:2
DTP*472*D8*20100623
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*625**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*626*625*22*0
SBR*P*18*******MC
NM1*IL*1*WILLIAMS*FAITH****MI*7917036472
N3*735 FORESTERIA DRIVE
N4*LAKE PARK*FL*33403
DMG*D8*20021120*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018880729*73.32***11::1*Y*C*Y*Y*B
REF*G1*0930090009
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100615
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*627**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*628*627*22*0
SBR*P*18*******MC
NM1*IL*1*CARRANZA*KEISHA****MI*3736885105
N3*1149 COLONIAL PALMS WAY
N4*WEST PALM BEACH*FL*33406
DMG*D8*19910607*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980929*73.32***12::1*Y*C*Y*Y*B
REF*G1*1001490015
HI*BK:29632
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100623
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*629**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*630*629*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*MIKAYLA****MI*7813848845
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20000918*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980930*73.32***12::1*Y*C*Y*Y*B
REF*G1*0932190268
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*631**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*632*631*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*PARIS****MI*7970148280
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980931*73.32***12::1*Y*C*Y*Y*B
REF*G1*0923690190
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*633**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*634*633*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*WANYA****MI*7769321344
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*19990808*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980932*73.32***12::1*Y*C*Y*Y*B
REF*G1*0903690541
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100616
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*635**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*636*635*22*0
SBR*P*18*******MC
NM1*IL*1*PITRE*SARA****MI*7348395449
N3*312 WEST 6TH STREET
N4*PAHOKEE*FL*33476
DMG*D8*19800512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980933*73.32***12::1*Y*C*Y*Y*B
REF*G1*0733090441
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100617
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*637**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*638*637*22*0
SBR*P*18*******MC
NM1*IL*1*WARNICK*IYAN****MI*9456227855
N3*13918 FOLKSTONE CIRCLE
N4*WELLINGTON*FL*33405
DMG*D8*19971006*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980934*128***99::1*Y*C*Y*Y*B
REF*G1*1002990288
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100615
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*639**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*640*639*22*0
SBR*P*18*******MC
NM1*IL*1*LEWIS III*ROBERT****MI*7668838431
N3*540 ASPEN RD
N4*WEST PALM BEACH*FL*33409
DMG*D8*19970321*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1018980935*60***99::1*Y*C*Y*Y*B
REF*G1*1010490122
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*60*UN*5***1
DTP*472*D8*20100701
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*641**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*642*641*22*0
SBR*P*18*******MC
NM1*IL*1*BREWSTER*ORALIA****MI*7340463801
N3*627 6TH ST APT 5
N4*WEST PALM BEACH*FL*33401
DMG*D8*19820829*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019380790*60***11::1*Y*C*Y*Y*B
REF*G1*EA1016690243
HI*BK:29632
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100701
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*643**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*644*643*22*0
SBR*P*18*******MC
NM1*IL*1*CARR*ULYSSES****MI*7770018331
N3*1120 WEST 27TH STREET
N4*RIVIERA BEACH*FL*33404
DMG*D8*19990818*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019380791*60***11::1*Y*C*Y*Y*B
REF*G1*0929490523
HI*BK:3149*BF:3076
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1:2
DTP*472*D8*20100702
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*645**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*646*645*22*0
SBR*P*18*******MC
NM1*IL*1*DESTINOBLE*AARON****MI*7874128681
N3*5101 CARIBBEAN BLVD
N4*WEST PALM BEACH*FL*33407
DMG*D8*19990608*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019380793*60***11::1*Y*C*Y*Y*B
REF*G1*0929590222
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100701
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*647**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*648*647*22*0
SBR*P*18*******MC
NM1*IL*1*NAVARRO*MARCIE****MI*8648758599
N3*4195 CROZET CT
N4*WEST PALM BEACH*FL*33409
DMG*D8*19691031*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019510240*219.96***12::1*Y*C*Y*Y*B
REF*G1*1011990528
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
PRV*PE*ZZ*251B00000X
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:RR*73.32*UN*4***1
DTP*472*D8*20090713
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
PRV*PE*ZZ*251B00000X
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:H2019:RR*73.32*UN*4***1
DTP*472*D8*20090720
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
PRV*PE*ZZ*251B00000X
REF*EI*591964034
REF*1D*060336801
LX*3
SV1*HC:H2019:RR*73.32*UN*4***1
DTP*472*D8*20090727
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
PRV*PE*ZZ*251B00000X
REF*EI*591964034
REF*1D*060336801
HL*649**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*650*649*22*0
SBR*P*18*******MC
NM1*IL*1*AUSTIN*ZACHARY****MI*7691576048
N3*351 WEST 16TH WAY
N4*RIVIERA BCH*FL*33404
DMG*D8*19971017*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550010*60***11::7*Y*C*Y*Y*B
REF*G1*0922290373
REF*F8*0932480778
HI*BK:31401*BF:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1:2
DTP*472*D8*20091021
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*651**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*652*651*22*0
SBR*P*18*******MC
NM1*IL*1*BRANCH*ANEESA****MI*2319737103
N3*9031 N MILITARY TRL
N4*PALM BEACH GARDENS*FL*33410
DMG*D8*19810108*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550014*48.5***11::7*Y*C*Y*Y*B
REF*G1*0926590181
REF*F8*1004080891
HI*BK:29689*BF:30981
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1:2
DTP*472*D8*20091205
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*653**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*654*653*22*0
SBR*P*18*******MC
NM1*IL*1*NERIUS*CHRISTOPHER****MI*7979688139
N3*570 W 34TH ST
N4*WEST PALM BEACH*FL*33404
DMG*D8*20040714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550015*48.5***11::7*Y*C*Y*Y*B
REF*G1*0931390430
REF*F8*1007481506
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100219
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*655**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*656*655*22*0
SBR*P*18*******MC
NM1*IL*1*WARNICK*IYAN****MI*9456227855
N3*13918 FOLKSTONE CIRCLE
N4*WELLINGTON*FL*33405
DMG*D8*19971006*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550016*64***11::7*Y*C*Y*Y*B
REF*G1*0922490418
REF*F8*0926580813
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*64*UN*4***1
DTP*472*D8*20090824
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*657**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*658*657*22*0
SBR*P*18*******MC
NM1*IL*1*WARNICK*DESIREE****MI*9456227847
N3*13918 FOLKSTONE CIRCLE
N4*WELLINGTON*FL*33405
DMG*D8*19760323*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550022*75***12::7*Y*C*Y*Y*B
REF*G1*0915590551
REF*F8*0924771224
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*75*UN*4***1
DTP*472*D8*20090728
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*659**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*660*659*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*PARIS****MI*7970148280
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550027*97***11::7*Y*C*Y*Y*B
REF*G1*0923690190
REF*F8*0928980668
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20090831
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*661**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*662*661*22*0
SBR*P*18*******MC
NM1*IL*1*GIBSON*JOHNATHAN****MI*7787775661
N3*182 AVOCADO AVE
N4*WEST PALM BEACH*FL*33413
DMG*D8*20000106*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550029*97***11::7*Y*C*Y*Y*B
REF*G1*0919690296
REF*F8*0924771213
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20090720
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*663**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*664*663*22*0
SBR*P*18*******MC
NM1*IL*1*GIBSON*JOHNATHAN****MI*7787775661
N3*182 AVOCADO AVE
N4*WEST PALM BEACH*FL*33413
DMG*D8*20000106*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550033*73.32***11::7*Y*C*Y*Y*B
REF*G1*0919690296
REF*F8*0924771215
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20090720
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*665**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*666*665*22*0
SBR*P*18*******MC
NM1*IL*1*HOLLIS*SHANIYA****MI*9412535244
N3*500 W 29TH ST
N4*RIVIERA BEACH*FL*33404
DMG*D8*20051117*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550039*48.5***11::7*Y*C*Y*Y*B
REF*G1*0904990395
REF*F8*0935180785
HI*BK:3129
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20091118
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*667**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*668*667*22*0
SBR*P*18*******MC
NM1*IL*1*AIKENS*LASHICA****MI*3532532026
N3*1572 W 9TH STREET
N4*WEST PALM BEACH*FL*33404
DMG*D8*19740827*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550166*15***11::7*Y*C*Y*Y*B
REF*G1*0921890383
REF*F8*0925472004
HI*BK:311*BF:30981
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1:2
DTP*472*D8*20090813
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*669**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*670*669*22*0
SBR*P*18*******MC
NM1*IL*1*BREWSTER*ORALIA****MI*7340463801
N3*627 6TH ST APT 5
N4*WEST PALM BEACH*FL*33401
DMG*D8*19820829*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550171*15***11::7*Y*C*Y*Y*B
REF*G1*0927590267
REF*F8*1002080816
HI*BK:29632
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20091204
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*671**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*672*671*22*0
SBR*P*18*******MC
NM1*IL*1*SEAY*ADAJIO****MI*7912331042
N3*9031 N MILITARY TRL
N4*PALM BEACH GARDENS*FL*33410
DMG*D8*20021110*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550178*48***11::7*Y*C*Y*Y*B
REF*G1*0918790088
REF*F8*0933580834
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031:HN*48*UN*1***1
DTP*472*D8*20091104
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*673**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*674*673*22*0
SBR*P*18*******MC
NM1*IL*1*GIBSON*JOHNATHAN****MI*7787775661
N3*182 AVOCADO AVE
N4*WEST PALM BEACH*FL*33413
DMG*D8*20000106*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550183*15***11::7*Y*C*Y*Y*B
REF*G1*0919690296
REF*F8*0924771214
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20090720
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*675**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*676*675*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*PARIS****MI*7970148280
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550187*15***11::7*Y*C*Y*Y*B
REF*G1*0923690190
REF*F8*0928980669
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20090831
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*677**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*678*677*22*0
SBR*P*18*******MC
NM1*IL*1*GREER*DELORIS****MI*1843487021
N3*8617 URANUS TER
N4*WEST PALM BEACH*FL*33403
DMG*D8*19650302*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550190*210***11::7*Y*C*Y*Y*B
REF*G1*0917590028
REF*F8*0931780829
HI*BK:29633*BF:30000
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2000:HP*210*UN*1***1:2
DTP*472*D8*20091020
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*679**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*680*679*22*0
SBR*P*18*******MC
NM1*IL*1*KNOWLES*CAMILLE****MI*1158898126
N3*1736 LAKE WORTH ROAD APT 107
N4*LAKE WORTH*FL*33460
DMG*D8*19780331*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550194*97***11::7*Y*C*Y*Y*B
REF*G1*0924490442
REF*F8*0927180875
HI*BK:29632*BF:30000
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1:2
DTP*472*D8*20090901
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*681**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*682*681*22*0
SBR*P*18*******MC
NM1*IL*1*JONES III*MELVIN****MI*7681461841
N3*2102 WEDGEWOOD PLAZA DR
N4*RIVIERA BEACH*FL*33407
DMG*D8*19970717*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550200*15***11::7*Y*C*Y*Y*B
REF*G1*0922490384
REF*F8*0926080561
HI*BK:3129
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1
DTP*472*D8*20090813
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*683**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*684*683*22*0
SBR*P*18*******MC
NM1*IL*1*KNOWLES*CAMILLE****MI*1158898126
N3*1736 LAKE WORTH ROAD APT 107
N4*LAKE WORTH*FL*33460
DMG*D8*19780331*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550206*15***11::7*Y*C*Y*Y*B
REF*G1*0924490442
REF*F8*0927180876
HI*BK:29632*BF:30000
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1:2
DTP*472*D8*20090901
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*685**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*686*685*22*0
SBR*P*18*******MC
NM1*IL*1*LINDSEY*TAMIAH****MI*7905304078
N3*1216 W 34TH ST
N4*WEST PALM BEACH*FL*33404
DMG*D8*20020729*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550223*48***11::7*Y*C*Y*Y*B
REF*G1*0927590191
REF*F8*0931380817
HI*BK:3094*BF:3149
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031:HN*48*UN*1***1:2
DTP*472*D8*20091005
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*687**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*688*687*22*0
SBR*P*18*******MC
NM1*IL*1*NAVARRO*MARCIE****MI*8648758599
N3*4195 CROZET CT
N4*WEST PALM BEACH*FL*33409
DMG*D8*19691031*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550230*48.5***11::7*Y*C*Y*Y*B
REF*G1*0924590472
REF*F8*0932480775
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20091013
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*689**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*690*689*22*0
SBR*P*18*******MC
NM1*IL*1*NAVARRO*MARCIE****MI*8648758599
N3*4195 CROZET CT
N4*WEST PALM BEACH*FL*33409
DMG*D8*19691031*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550239*-146.64***12::8*Y*C*Y*Y*B
REF*G1*0905490165
REF*F8*0922870645
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*-73.32*UN*-4***1
DTP*472*D8*20090626
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:H2019:HR*-73.32*UN*-4***1
DTP*472*D8*20090629
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*691**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*692*691*22*0
SBR*P*18*******MC
NM1*IL*1*NAVARRO*MARCIE****MI*8648758599
N3*4195 CROZET CT
N4*WEST PALM BEACH*FL*33409
DMG*D8*19691031*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550240*73.32***12::7*Y*C*Y*Y*B
REF*G1*0905490165
REF*F8*0922870645
HI*BK:30924
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20090629
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*693**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*694*693*22*0
SBR*P*18*******MC
NM1*IL*1*ORTIZ*CHRISTIAN****MI*9428711543
N3*789 COTTON BAY DR E 2714
N4*WEST PALM BEACH*FL*33406
DMG*D8*19990929*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550282*15***11::7*Y*C*Y*Y*B
REF*G1*0932390247
REF*F8*1006281162
HI*BK:3090*BF:V6282
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1:2
DTP*472*D8*20091119
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*695**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*696*695*22*0
SBR*P*18*******MC
NM1*IL*1*ORTIZ*ISAIAH****MI*9428711535
N3*789 COTTON BAY DR E 2714
N4*WEST PALM BEACH*FL*33406
DMG*D8*19971009*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550284*15***11::7*Y*C*Y*Y*B
REF*G1*0932290663
REF*F8*1006281166
HI*BK:3090*BF:V6282
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1:2
DTP*472*D8*20091119
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*697**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*698*697*22*0
SBR*P*18*******MC
NM1*IL*1*ORTIZ*NATHAN****MI*9428711551
N3*789 COTTON BAY DR E 2714
N4*WEST PALM BEACH*FL*33406
DMG*D8*20021119*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550286*15***11::7*Y*C*Y*Y*B
REF*G1*0932390255
REF*F8*1006281170
HI*BK:3090*BF:V6282
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0031*15*UN*1***1:2
DTP*472*D8*20091119
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*699**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*700*699*22*0
SBR*P*18*******MC
NM1*IL*1*PITRE*SARA****MI*7348395449
N3*312 WEST 6TH STREET
N4*PAHOKEE*FL*33476
DMG*D8*19800512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550289*48.5***11::7*Y*C*Y*Y*B
REF*G1*0733090441
REF*F8*0928980674
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20090713
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*701**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*702*701*22*0
SBR*P*18*******MC
NM1*IL*1*STFLEURANT*WILNORD****MI*7505304097
N3*P O BOX 11006
N4*WEST PALM BEACH*FL*33419
DMG*D8*19930726*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550294*97***11::7*Y*C*Y*Y*B
REF*G1*0918790180
REF*F8*0925472002
HI*BK:3004*BF:3159
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1:2
DTP*472*D8*20090706
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*703**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*704*703*22*0
SBR*P*18*******MC
NM1*IL*1*STFLEURANT*WILNORD****MI*7505304097
N3*P O BOX 11006
N4*WEST PALM BEACH*FL*33419
DMG*D8*19930726*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019550296*73.32***12::7*Y*C*Y*Y*B
REF*G1*0918790180
REF*F8*0930980706
HI*BK:3004*BF:3159
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1:2
DTP*472*D8*20091013
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*705**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*706*705*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDMAN*EMERSON****MI*7969543499
N3*1369 SAILBOAT CIRCLE
N4*WELLINGTON*FL*33414
DMG*D8*19990423*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019581049*73.32***12::1*Y*C*Y*Y*B
REF*G1*1009590234
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100701
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*707**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*708*707*22*0
SBR*P*18*******MC
NM1*IL*1*DIXON*CRYSTAL****MI*3103592124
N3*984 SPRINGDALE CIRCLE
N4*PALM SPRINGS*FL*33461
DMG*D8*19860617*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019650060*73.32***12::7*Y*C*Y*Y*B
REF*G1*1001590263
REF*F8*1008281042
HI*BK:29690
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100219
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*709**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*710*709*22*0
SBR*P*18*******MC
NM1*IL*1*DIXON*CRYSTAL****MI*3103592124
N3*984 SPRINGDALE CIRCLE
N4*PALM SPRINGS*FL*33461
DMG*D8*19860617*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019650072*73.32***12::7*Y*C*Y*Y*B
REF*G1*1001590263
REF*F8*1007780925
HI*BK:29690
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100226
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*711**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*712*711*22*0
SBR*P*18*******MC
NM1*IL*1*CARRANZA*KEISHA****MI*3736885105
N3*1149 COLONIAL PALMS WAY
N4*WEST PALM BEACH*FL*33406
DMG*D8*19910607*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019680761*73.32***12::1*Y*C*Y*Y*B
REF*G1*1001490015
HI*BK:29632
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100707
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*713**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*714*713*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*MIKAYLA****MI*7813848845
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20000918*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019680762*73.32***12::1*Y*C*Y*Y*B
REF*G1*0932190268
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*715**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*716*715*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*PARIS****MI*7970148280
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019680763*73.32***12::1*Y*C*Y*Y*B
REF*G1*0923690190
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*717**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*718*717*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*WANYA****MI*7769321344
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*19990808*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019680764*73.32***12::1*Y*C*Y*Y*B
REF*G1*0903690541
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*719**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*720*719*22*0
SBR*P*18*******MC
NM1*IL*1*PITRE*SARA****MI*7348395449
N3*312 WEST 6TH STREET
N4*PAHOKEE*FL*33476
DMG*D8*19800512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019680765*73.32***12::1*Y*C*Y*Y*B
REF*G1*0733090441
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*721**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*722*721*22*0
SBR*P*18*******MC
NM1*IL*1*WARNICK*IYAN****MI*9456227855
N3*13918 FOLKSTONE CIRCLE
N4*WELLINGTON*FL*33405
DMG*D8*19971006*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1019680766*128***12::1*Y*C*Y*Y*B
REF*G1*1002990288
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100628
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*723**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*724*723*22*0
SBR*P*18*******MC
NM1*IL*1*GEORGE*LAUREN****MI*7713212329
N3*1909 PINEHURST DR
N4*WEST PALM BEACH*FL*33407
DMG*D8*19951026*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020080953*128***12::1*Y*C*Y*Y*B
REF*G1*1013890287
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*725**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*726*725*22*0
SBR*P*18*******MC
NM1*IL*1*OSBORNE*ANNAYA****MI*9446395852
N3*1325 6TH ST
N4*WEST PALM BEACH*FL*33401
DMG*D8*19960904*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020080954*73.32***99::1*Y*C*Y*Y*B
REF*G1*1001290346
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*727**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*728*727*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020080955*60***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1015*60*UN*1***1
DTP*472*D8*20100707
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*729**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*730*729*22*0
SBR*P*18*******MC
NM1*IL*1*DELOACH*CHANTOYA****MI*1844553116
N3*772 VENETO DR APT 201
N4*LAKE PARK*FL*33403
DMG*D8*19860819*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020280992*148.32***12::1*Y*C*Y*Y*B
REF*G1*1015990127
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*75*UN*4***1
DTP*472*D8*20100531
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*2
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100601
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*731**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*732*731*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*MIKAYLA****MI*7813848845
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20000918*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020280995*73.32***12::1*Y*C*Y*Y*B
REF*G1*0932190268
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*733**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*734*733*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*PARIS****MI*7970148280
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020280996*73.32***12::1*Y*C*Y*Y*B
REF*G1*0923690190
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*735**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*736*735*22*0
SBR*P*18*******MC
NM1*IL*1*DAVIS*WANYA****MI*7769321344
N3*PO BOX 135
N4*PAHOKEE*FL*33476
DMG*D8*19990808*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020280997*73.32***12::1*Y*C*Y*Y*B
REF*G1*0903690541
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*737**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*738*737*22*0
SBR*P*18*******MC
NM1*IL*1*GEORGE*LAUREN****MI*7713212329
N3*1909 PINEHURST DR
N4*WEST PALM BEACH*FL*33407
DMG*D8*19951026*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020280998*128***12::1*Y*C*Y*Y*B
REF*G1*1013890287
HI*BK:3094
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100623
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*739**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*740*739*22*0
SBR*P*18*******MC
NM1*IL*1*PITRE*SARA****MI*7348395449
N3*312 WEST 6TH STREET
N4*PAHOKEE*FL*33476
DMG*D8*19800512*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020280999*73.32***12::1*Y*C*Y*Y*B
REF*G1*0733090441
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100621
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*741**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*742*741*22*0
SBR*P*18*******MC
NM1*IL*1*WALLS*CARLY****MI*7567135833
N3*8821 DANIA DR
N4*PALM BEACH GARDENS*FL*33410
DMG*D8*19941008*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020281000*73.32***12::1*Y*C*Y*Y*B
REF*G1*0907790222
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*743**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*744*743*22*0
SBR*P*18*******MC
NM1*IL*1*WARNICK*IYAN****MI*9456227855
N3*13918 FOLKSTONE CIRCLE
N4*WELLINGTON*FL*33405
DMG*D8*19971006*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020281001*128***99::1*Y*C*Y*Y*B
REF*G1*1002990288
HI*BK:31401
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HO*128*UN*8***1
DTP*472*D8*20100626
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*745**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*746*745*22*0
SBR*P*18*******MC
NM1*IL*1*WALLS*CARLY****MI*7567135833
N3*8821 DANIA DR
N4*PALM BEACH GARDENS*FL*33410
DMG*D8*19941008*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020282193*73.32***12::1*Y*C*Y*Y*B
REF*G1*0907790222
HI*BK:31381
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100714
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*747**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*748*747*22*0
SBR*P*18*******MC
NM1*IL*1*APONTE*JAVIELIZ****MI*7974825057
N3*1531 DREXEL RD LOT 307
N4*WEST PALM BEACH*FL*33417
DMG*D8*20020920*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020282194*48***11::1*Y*C*Y*Y*B
REF*G1*1004390539
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*48*UN*4***1
DTP*472*D8*20100629
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*749**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*750*749*22*0
SBR*P*18*******MC
NM1*IL*1*SKINNER*SANORA****MI*7693547843
N3*448 BROWARD AVENUE
N4*GREENACRES*FL*33463
DMG*D8*19971101*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020282195*24***11::1*Y*C*Y*Y*B
REF*G1*0929590588
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:T1017:HA*24*UN*2***1
DTP*472*D8*20100628
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*751**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*752*751*22*0
SBR*P*18*******MC
NM1*IL*1*CARR*ULYSSES****MI*7770018331
N3*1120 WEST 27TH STREET
N4*RIVIERA BEACH*FL*33404
DMG*D8*19990818*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380788*73.32***12::1*Y*C*Y*Y*B
REF*G1*0929490523
HI*BK:3149*BF:3076
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1:2
DTP*472*D8*20100706
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*753**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*754*753*22*0
SBR*P*18*******MC
NM1*IL*1*CHAPMAN*DEVEN****MI*7907671582
N3*570 W 34TH ST
N4*WEST PALM BEACH*FL*33404
DMG*D8*20020914*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380789*73.32***12::1*Y*C*Y*Y*B
REF*G1*1004190004
HI*BK:30000
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*755**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*756*755*22*0
SBR*P*18*******MC
NM1*IL*1*COLLIER*BROOKE****MI*7832105241
N3*1736 LAKE WORTH ROAD APT 205
N4*LAKE WORTH*FL*33460
DMG*D8*19820806*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380790*73.32***12::1*Y*C*Y*Y*B
REF*G1*1002690289
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100709
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*757**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*758*757*22*0
SBR*P*18*******MC
NM1*IL*1*DELOACH*CHANTOYA****MI*1844553116
N3*772 VENETO DR APT 201
N4*LAKE PARK*FL*33403
DMG*D8*19860819*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380791*73.32***12::1*Y*C*Y*Y*B
REF*G1*1015990127
HI*BK:3090
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100629
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*759**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*760*759*22*0
SBR*P*18*******MC
NM1*IL*1*GOLDMAN*EMERSON****MI*7969543499
N3*1369 SAILBOAT CIRCLE
N4*WELLINGTON*FL*33414
DMG*D8*19990423*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380792*48.5***11::1*Y*C*Y*Y*B
REF*G1*1009590234
HI*BK:31400
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032:TS*48.5*UN*1***1
DTP*472*D8*20100707
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*761**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*762*761*22*0
SBR*P*18*******MC
NM1*IL*1*NERIUS*CHRISTOPHER****MI*7979688139
N3*570 W 34TH ST
N4*WEST PALM BEACH*FL*33404
DMG*D8*20040714*M
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380794*73.32***12::1*Y*C*Y*Y*B
REF*G1*0931390430
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100630
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*763**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*764*763*22*0
SBR*P*18*******MC
NM1*IL*1*SHEPHERD*KRISTEN****MI*7483149132
N3*8773 N.W. K WAY
N4*TALLAHASSEE*FL*32309
DMG*D8*19741029*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380796*97***11::1*Y*C*Y*Y*B
REF*G1*E1016090028
HI*BK:29384
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H0032*97*UN*1***1
DTP*472*D8*20100701
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*765**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*766*765*22*0
SBR*P*18*******MC
NM1*IL*1*COLLIER*BROOKE****MI*7832105241
N3*1736 LAKE WORTH ROAD APT 205
N4*LAKE WORTH*FL*33460
DMG*D8*19820806*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380799*73.32***12::1*Y*C*Y*Y*B
REF*G1*1002690289
HI*BK:30928
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100701
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
HL*767**20*1
NM1*85*2*HEALTHY PALM BEACHES*****24*650550288
N3*324 DATURA ST.
N4*WEST PALM BEACH*FL*33411
REF*1D*015025800
NM1*87*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
N3*2001 W Blue Herron Blvd.
N4*Riviera Beach*FL*33404
REF*EI*59-1964034
REF*1D*060336801
HL*768*767*22*0
SBR*P*18*******MC
NM1*IL*1*CUELLO*NATALIE****MI*9260713901
N3*2659 FLAMINGO LAKE DRIVE
N4*WEST PALM  BEACH*FL*33401
DMG*D8*20040414*F
NM1*PR*2*Florida Medicaid*****PI*77027
N3*2727 Mahan Drive
N4*Tallahassee*FL*32308
CLM*1020380800*73.32***12::1*Y*C*Y*Y*B
REF*G1*E1014490519
HI*BK:3093
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
LX*1
SV1*HC:H2019:HR*73.32*UN*4***1
DTP*472*D8*20100702
NM1*82*2*PARENT-CHILD CENTER, INC.*****XX*1558378679
REF*EI*591964034
REF*1D*060336801
SE*13090*0001
GE*1*10012
IEA*1*000008905
