Stedfast Medical Services Llc | |
3365 Burns Rd Ste 203 Palm Beach Gardens FL 33410-4303 | |
(561) 708-5092 | |
Not Available |
Full Name | Stedfast Medical Services Llc |
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Speciality | Psychiatry & Neurology |
Location | 3365 Burns Rd Ste 203, Palm Beach Gardens, Florida |
Authorized Official Name and Position | Yennisleydi Jimenez (MANAGER) |
Authorized Official Contact | 5614129373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stedfast Medical Services Llc 3365 Burns Rd Ste 203 Palm Beach Gardens FL 33410-4303 Ph: (561) 708-5092 | Stedfast Medical Services Llc 3365 Burns Rd Ste 203 Palm Beach Gardens FL 33410-4303 Ph: (561) 708-5092 |
NPI Number | 1508438284 |
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Provider Enumeration Date | 07/13/2021 |
Last Update Date | 07/10/2023 |
Certification Date | 07/10/2023 |
Medicare PECOS PAC ID | 4981000999 |
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Medicare Enrollment ID | O20210831000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508438284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | David S Husted |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255370235 PECOS PAC ID: 9032129408 Enrollment ID: I20060428000581 |
Provider Name | Olugbenga O Aje |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104011774 PECOS PAC ID: 9830234913 Enrollment ID: I20100301000190 |
Provider Name | Sanford A Kaufman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578574497 PECOS PAC ID: 1153568563 Enrollment ID: I20130502000151 |
Provider Name | Marvin Ishmeal Cohen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417383803 PECOS PAC ID: 9830323070 Enrollment ID: I20131002000047 |
Provider Name | Peter Gobar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164408761 PECOS PAC ID: 5496792053 Enrollment ID: I20150709001546 |
Provider Name | Willy Philias |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720336373 PECOS PAC ID: 7214249929 Enrollment ID: I20150716003136 |
Provider Name | Paul F Rashid |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023223179 PECOS PAC ID: 1557556974 Enrollment ID: I20160913001359 |
Provider Name | Maryam Nouhi Arbatani |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20170620000922 |
Provider Name | Aditya Vora |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750794087 PECOS PAC ID: 4486999174 Enrollment ID: I20181228000431 |
Provider Name | Brett Flanagan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629458419 PECOS PAC ID: 3779897103 Enrollment ID: I20190815002071 |
Provider Name | Carline Grand-pierre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063028850 PECOS PAC ID: 5890158976 Enrollment ID: I20230823002026 |
Provider Name | Maria Isabel Ramos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588435622 PECOS PAC ID: 2567802085 Enrollment ID: I20240501002613 |
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