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1021 Health Park Drive Moore Haven FL 33471-6206 | |
(561) 844-9443 | |
(561) 844-1013 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1021 Health Park Drive, Moore Haven, 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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5827 Corporate Way West Palm Beach FL 33407-2000 Ph: (561) 844-9443 | 1021 Health Park Drive Moore Haven FL 33471-6206 Ph: (561) 844-9443 |
NPI Number | 1194071944 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 06/17/2016 |
Medicare PECOS PAC ID | 9931017126 |
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Medicare Enrollment ID | O20120914000636 |
Identifier | Type | State | Issuer |
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1194071944 | NPI | - | NPPES |