| Aag Np Services Llc | |
|
309 Cornell Dr Lake Worth Beach FL 33460-6207 | |
| (718) 490-4293 | |
| Not Available |
| Full Name | Aag Np Services Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 309 Cornell Dr, Lake Worth Beach, Florida |
| Authorized Official Name and Position | Alirio Alfonso Gonzalez (OWNER) |
| Authorized Official Contact | 7184904293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aag Np Services Llc 309 Cornell Dr Lake Worth Beach FL 33460-6207 Ph: (718) 490-4293 | Aag Np Services Llc 309 Cornell Dr Lake Worth Beach FL 33460-6207 Ph: (718) 490-4293 |
| NPI Number | 1356989693 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356989693 | NPI | - | NPPES |
| 00246153 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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