| Boynton Primary Care, Llc | |
|
2828 S Seacrest Blvd Ste 101 Boynton Beach FL 33435-7944 | |
| (561) 736-1070 | |
| Not Available |
| Full Name | Boynton Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2828 S Seacrest Blvd Ste 101, Boynton Beach, Florida |
| Authorized Official Name and Position | Conrad Zaguirre (CEO/CFO) |
| Authorized Official Contact | 5615379617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boynton Primary Care, Llc 2828 S Seacrest Blvd Ste 101 Boynton Beach FL 33435-7944 Ph: (561) 736-1070 | Boynton Primary Care, Llc 2828 S Seacrest Blvd Ste 101 Boynton Beach FL 33435-7944 Ph: (561) 736-1070 |
| NPI Number | 1437814274 |
|---|---|
| Provider Enumeration Date | 11/06/2021 |
| Last Update Date | 11/06/2021 |
| Medicare PECOS PAC ID | 1355727330 |
|---|---|
| Medicare Enrollment ID | O20220928001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437814274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Om P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023115193 PECOS PAC ID: 0547275570 Enrollment ID: I20060213000752 |
| Provider Name | Tatiana Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568067544 PECOS PAC ID: 8426454513 Enrollment ID: I20210915002558 |
| Provider Name | Alain Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225655293 PECOS PAC ID: 4587057781 Enrollment ID: I20220211000294 |
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