| Jilleen M. Pannozzo, D.o., P.a. | |
|
10301 Hagen Ranch Rd Suite 7 Boynton Beach FL 33437-3724 | |
| (561) 733-4469 | |
| (561) 733-6858 |
| Full Name | Jilleen M. Pannozzo, D.o., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10301 Hagen Ranch Rd, Boynton Beach, Florida |
| Authorized Official Name and Position | Jilleen Marie Pannozzo (PSYCHIATRIST) |
| Authorized Official Contact | 5617334469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jilleen M. Pannozzo, D.o., P.a. 10301 Hagen Ranch Rd Suite 7 Boynton Beach FL 33437-3724 Ph: (561) 733-4469 | Jilleen M. Pannozzo, D.o., P.a. 10301 Hagen Ranch Rd Suite 7 Boynton Beach FL 33437-3724 Ph: (561) 733-4469 |
| NPI Number | 1649607136 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 09/30/2013 |
| Medicare PECOS PAC ID | 5193951986 |
|---|---|
| Medicare Enrollment ID | O20131127000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649607136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | OS0005928 (Florida) | Primary |
| Provider Name | Jilleen M Pannozzo |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1730272477 PECOS PAC ID: 2961691159 Enrollment ID: I20110104000287 |
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