| Alban B Bacchus Md Inc | |
|
2889 10th Avenue North Suite 301 Lake Worth FL 33461-3045 | |
| (561) 966-2303 | |
| (561) 966-0714 |
| Full Name | Alban B Bacchus Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2889 10th Avenue North, Lake Worth, Florida |
| Authorized Official Name and Position | Alban Berkley Bacchus (PHYSICIAN) |
| Authorized Official Contact | 5619662303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alban B Bacchus Md Inc 2889 10th Avenue North Suite 301 Lake Worth FL 33461-3045 Ph: (561) 966-2303 | Alban B Bacchus Md Inc 2889 10th Avenue North Suite 301 Lake Worth FL 33461-3045 Ph: (561) 966-2303 |
| NPI Number | 1962412973 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8224112842 |
|---|---|
| Medicare Enrollment ID | O20080221000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962412973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0054352 (Florida) | Primary |
| Provider Name | Alban B Bacchus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710176474 PECOS PAC ID: 9133180102 Enrollment ID: I20080220000587 |
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