| Arkim Primary Care Clinic Llc | |
|
1853 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5530 | |
| (772) 237-5244 | |
| (772) 905-8047 |
| Full Name | Arkim Primary Care Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1853 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Kali Garcia Malpica (PRESIDENT) |
| Authorized Official Contact | 7722375244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkim Primary Care Clinic Llc 1853 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5530 Ph: (772) 237-5244 | Arkim Primary Care Clinic Llc 1853 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5530 Ph: (772) 237-5244 |
| NPI Number | 1871204867 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 6103298385 |
|---|---|
| Medicare Enrollment ID | O20230707000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871204867 | NPI | - | NPPES |
| 117047600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Naseem Suleman Paruk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624490 PECOS PAC ID: 6103055876 Enrollment ID: I20150516000074 |
| Provider Name | Anay Torres Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437639648 PECOS PAC ID: 4082952882 Enrollment ID: I20190220000559 |
| Provider Name | Kali Garcia Malpica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457993586 PECOS PAC ID: 9931538089 Enrollment ID: I20200410001971 |
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