| Boxton Cares, Inc. | |
|
2121 W Pensacola St Tallahassee FL 32304-3149 | |
| (850) 528-1741 | |
| Not Available |
| Full Name | Boxton Cares, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2121 W Pensacola St, Tallahassee, Florida |
| Authorized Official Name and Position | Randall Eugene Box (OWNER) |
| Authorized Official Contact | 8505281741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boxton Cares, Inc. 39 Walker Creek Dr Crawfordville FL 32327-4743 Ph: (850) 528-1741 | Boxton Cares, Inc. 2121 W Pensacola St Tallahassee FL 32304-3149 Ph: (850) 528-1741 |
| NPI Number | 1467080036 |
|---|---|
| Provider Enumeration Date | 03/30/2020 |
| Last Update Date | 03/30/2020 |
| Medicare PECOS PAC ID | 1153744156 |
|---|---|
| Medicare Enrollment ID | O20200709001859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467080036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ashley Monique Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396149613 PECOS PAC ID: 1850665050 Enrollment ID: I20221128000716 |
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