| Coastal Family Practice And Internal Medicine | |
|
1004 S Old Dixie Hwy Ste 201 Jupiter FL 33458-7200 | |
| (561) 662-5964 | |
| (561) 284-8380 |
| Full Name | Coastal Family Practice And Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1004 S Old Dixie Hwy Ste 201, Jupiter, Florida |
| Authorized Official Name and Position | Janet D Eick (ACCESS MANAGER) |
| Authorized Official Contact | 5616625964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Practice And Internal Medicine 1004 S Old Dixie Hwy Ste 201 Jupiter FL 33458-7200 Ph: (561) 284-8383 | Coastal Family Practice And Internal Medicine 1004 S Old Dixie Hwy Ste 201 Jupiter FL 33458-7200 Ph: (561) 662-5964 |
| NPI Number | 1629686613 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/22/2020 |
| Medicare PECOS PAC ID | 6103241799 |
|---|---|
| Medicare Enrollment ID | O20200729003161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629686613 | NPI | - | NPPES |
| 1780772673 | Other | FL | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stuart L Wanuck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700848884 PECOS PAC ID: 8325162704 Enrollment ID: I20100908000400 |
| Provider Name | Edward M Jeryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053356295 PECOS PAC ID: 5991971459 Enrollment ID: I20120104000630 |
| Provider Name | Amy Kappes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609282177 PECOS PAC ID: 2668743246 Enrollment ID: I20180625001707 |
| Provider Name | Richard S Lapinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275610149 PECOS PAC ID: 7012093941 Enrollment ID: I20220228001590 |
| Provider Name | Halina M Snowball |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609848480 PECOS PAC ID: 9133392467 Enrollment ID: I20231011004046 |
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