| 4d Healthware Virtual Specialty Care Llc | |
|
17880 Key Vista Way Boca Raton FL 33496-1040 | |
| (407) 361-1044 | |
| Not Available |
| Full Name | 4d Healthware Virtual Specialty Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 17880 Key Vista Way, Boca Raton, Florida |
| Authorized Official Name and Position | Jonathan Hinds (OWNER) |
| Authorized Official Contact | 4073611044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4d Healthware Virtual Specialty Care Llc 9858 Clint Moore Rd Ste C111 Boca Raton FL 33496-1044 Ph: () - | 4d Healthware Virtual Specialty Care Llc 17880 Key Vista Way Boca Raton FL 33496-1040 Ph: (407) 361-1044 |
| NPI Number | 1508558412 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 4486016425 |
|---|---|
| Medicare Enrollment ID | O20230808003093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508558412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jonathan Anthony Hinds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134564222 PECOS PAC ID: 2961639539 Enrollment ID: I20190321001712 |
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