| Addison Mizner Medical Llc | |
|
233 S Federal Hwy Suite 103 Boca Raton FL 33432-4937 | |
| (561) 347-2996 | |
| (561) 347-8998 |
| Full Name | Addison Mizner Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 233 S Federal Hwy, Boca Raton, Florida |
| Authorized Official Name and Position | Richard Marques (PHYSICIAN) |
| Authorized Official Contact | 5613472996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Mizner Medical Llc 233 S Federal Hwy Suite 103 Boca Raton FL 33432-4937 Ph: (561) 347-2996 | Addison Mizner Medical Llc 233 S Federal Hwy Suite 103 Boca Raton FL 33432-4937 Ph: (561) 347-2996 |
| NPI Number | 1902090202 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 05/18/2010 |
| Medicare PECOS PAC ID | 4385728450 |
|---|---|
| Medicare Enrollment ID | O20080227000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902090202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Marques |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811957749 PECOS PAC ID: 0345270625 Enrollment ID: I20050816001012 |
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