| Coastal Concierge Internal Medicine Pllc | |
|
1411 N Flagler Dr Ste 6700 West Palm Beach FL 33401-3417 | |
| (561) 768-4018 | |
| (561) 760-4583 |
| Full Name | Coastal Concierge Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 N Flagler Dr Ste 6700, West Palm Beach, Florida |
| Authorized Official Name and Position | Jana L Mckenzie (PRESIDENT/OWNER) |
| Authorized Official Contact | 5618208580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Concierge Internal Medicine Pllc 1411 N Flagler Dr Ste 6700 West Palm Beach FL 33401-3417 Ph: (561) 768-4018 | Coastal Concierge Internal Medicine Pllc 1411 N Flagler Dr Ste 6700 West Palm Beach FL 33401-3417 Ph: (561) 768-4018 |
| NPI Number | 1376125302 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 10/13/2021 |
| Medicare PECOS PAC ID | 9133538879 |
|---|---|
| Medicare Enrollment ID | O20210510000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376125302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jana Lyn Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831147578 PECOS PAC ID: 4385836733 Enrollment ID: I20191004001270 |
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