| Black Stallion Walk-in And Exercise Medicine Clinics Llc | |
|
9955 Se Federal Hwy Hobe Sound FL 33455-4829 | |
| (772) 932-9310 | |
| Not Available |
| Full Name | Black Stallion Walk-in And Exercise Medicine Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9955 Se Federal Hwy, Hobe Sound, Florida |
| Authorized Official Name and Position | Gracia Pierre-pierre (OWNER) |
| Authorized Official Contact | 7729329310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Stallion Walk-in And Exercise Medicine Clinics Llc 9955 Se Federal Hwy Hobe Sound FL 33455-4829 Ph: (772) 932-9310 | Black Stallion Walk-in And Exercise Medicine Clinics Llc 9955 Se Federal Hwy Hobe Sound FL 33455-4829 Ph: (772) 932-9310 |
| NPI Number | 1720607484 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 04/13/2020 |
| Medicare PECOS PAC ID | 3476976200 |
|---|---|
| Medicare Enrollment ID | O20200713000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720607484 | NPI | - | NPPES |
| 13595686 | Other | FL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Gracia M Pierre Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831538081 PECOS PAC ID: 0446566707 Enrollment ID: I20150901001273 |
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