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7025 Beracasa Way, Unit #102-g, Boca Raton, FL 33433-3428 | |
| (786) 975-2090 | |
| (847) 674-2113 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 7025 Beracasa Way, Boca Raton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871822213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | HCC8620 (Florida) | Primary |
| Provider Name | Richard G Philips |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134117641 PECOS PAC ID: 9234146440 Enrollment ID: I20060314000131 |
| Provider Name | Gregory Spain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942378724 PECOS PAC ID: 8628179355 Enrollment ID: I20090817000015 |
| Provider Name | Dedrick M Daniels |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730402975 PECOS PAC ID: 7810167897 Enrollment ID: I20141209000024 |
| Provider Name | Jeffrey T Weiland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528326725 PECOS PAC ID: 7810203536 Enrollment ID: I20150826000738 |
| Provider Name | Lee H Goldstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215905682 PECOS PAC ID: 2062305790 Enrollment ID: I20151209002841 |
| Provider Name | Ugochukwu Chidozie Adigweme |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467945642 PECOS PAC ID: 7618226176 Enrollment ID: I20180816003295 |
| Provider Name | Teresa M Contreras |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144601105 PECOS PAC ID: 2062743925 Enrollment ID: I20191008002804 |
| Mailing Address | Practice Location Address |
|---|---|
7025 Beracasa Way, Unit #102-g, Boca Raton, FL 33433-3443 Ph: (786) 975-2090 | 7025 Beracasa Way, Unit #102-g, Boca Raton, FL 33433-3428 Ph: (786) 975-2090 |
John Douglas Goodner, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9970 Central Park Blvd N Ste 300, Boca Raton, FL 33428 Phone: 561-488-2200 Fax: 561-488-1064 | |
Dr. Paul Allan Sommer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1353 W Palmetto Park Rd, Boca Raton, FL 33486 Phone: 561-750-3060 Fax: 561-750-3011 | |
Jeffrey G. Savran, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9858 Glades Rd, D5, Boca Raton, FL 33434 Phone: 561-852-8950 Fax: 561-883-9965 | |
Dr. Kyle J Kinmon, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1601 Clint Moore Rd, 130, Boca Raton, FL 33487 Phone: 561-995-0229 Fax: 561-989-0775 | |
Dr. Marc B Klein, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7050 W Palmetto Park Rd, Suite #18, Boca Raton, FL 33433 Phone: 561-447-7571 Fax: 561-447-7574 | |
Gregg Michael Harris, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9980 Central Park Blvd N, Suite 106, Boca Raton, FL 33428 Phone: 561-488-3338 Fax: 561-488-1540 |