| Caremax Medical Center, Llc | |
|
4074 Northlake Blvd Palm Beach Gardens FL 33410-6257 | |
| (561) 612-0510 | |
| (561) 612-0511 |
| Full Name | Caremax Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4074 Northlake Blvd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Carlos De Solo (CEO) |
| Authorized Official Contact | 3056498100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremax Medical Center, Llc 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Caremax Medical Center, Llc 4074 Northlake Blvd Palm Beach Gardens FL 33410-6257 Ph: (561) 612-0510 |
| NPI Number | 1801175369 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 5092151159 |
|---|---|
| Medicare Enrollment ID | O20240311004015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801175369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ming T Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124023890 PECOS PAC ID: 0446300446 Enrollment ID: I20100510000481 |
| Provider Name | Daneel Correa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053587436 PECOS PAC ID: 1052592748 Enrollment ID: I20110301000586 |
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