Av Medical Center Inc. | |
1301 N Lawnwood Cir Fort Pierce FL 34950-4825 | |
(772) 577-6232 | |
(305) 402-0941 |
Full Name | Av Medical Center Inc. |
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Speciality | Internal Medicine |
Location | 1301 N Lawnwood Cir, Fort Pierce, Florida |
Authorized Official Name and Position | Walsin Romero (OWNER) |
Authorized Official Contact | 7865472767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Av Medical Center Inc. 3357 Sw Frankford St Port Saint Lucie FL 34953-4938 Ph: (786) 547-2767 | Av Medical Center Inc. 1301 N Lawnwood Cir Fort Pierce FL 34950-4825 Ph: (772) 577-6232 |
NPI Number | 1245075936 |
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Provider Enumeration Date | 06/26/2024 |
Last Update Date | 12/17/2024 |
Medicare PECOS PAC ID | 2264979723 |
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Medicare Enrollment ID | O20240801001388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245075936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
Provider Name | Armand J Bermudez |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1649274929 PECOS PAC ID: 4284520487 Enrollment ID: I20150109000151 |
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