Indiantown Center | |
15858 S.w. Warfield Blvd. Indiantown FL 34956-0648 | |
(772) 597-3596 | |
(772) 597-4194 |
Full Name | Indiantown Center |
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Speciality | Family Medicine |
Location | 15858 S.w. Warfield Blvd., Indiantown, Florida |
Authorized Official Name and Position | Michael F Gervasi (PRESIDENT & CEO) |
Authorized Official Contact | 5618449443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Indiantown Center 5827 Corporate Way West Palm Beach FL 33407-2000 Ph: (561) 844-9443 | Indiantown Center 15858 S.w. Warfield Blvd. Indiantown FL 34956-0648 Ph: (772) 597-3596 |
NPI Number | 1205886223 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 06/17/2016 |
Medicare PECOS PAC ID | 9931017126 |
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Medicare Enrollment ID | O20100809000347 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205886223 | NPI | - | NPPES |
029574403 | Medicaid | FL | |
060144600 | Medicaid | FL |
Dentalworks Studio Of Indiantown Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15275 Sw Adams Ave, Indiantown, FL 34956 Phone: 772-597-4627 Fax: 772-597-4630 |