| Columbia Primary Care Llc | |
|
4631 N Congress Ave Suite 202 West Palm Beach FL 33407-3209 | |
| (561) 881-2640 | |
| (561) 863-2304 |
| Full Name | Columbia Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4631 N Congress Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | Gary Duncan (VP) |
| Authorized Official Contact | 5618812640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Primary Care Llc 4631 N Congress Ave Suite 202 West Palm Beach FL 33407-3209 Ph: (561) 881-2640 | Columbia Primary Care Llc 4631 N Congress Ave Suite 202 West Palm Beach FL 33407-3209 Ph: (561) 881-2640 |
| NPI Number | 1265567994 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 09/27/2007 |
| Medicare PECOS PAC ID | 7810906823 |
|---|---|
| Medicare Enrollment ID | O20060419000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265567994 | NPI | - | NPPES |
| DF4508 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arnold Ghitis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790860310 PECOS PAC ID: 6406840446 Enrollment ID: I20040412001738 |
| Provider Name | Henry Cusnir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215012844 PECOS PAC ID: 5799752903 Enrollment ID: I20040915001081 |
| Provider Name | Eduardo C Sabates |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851385686 PECOS PAC ID: 2163488776 Enrollment ID: I20041206000775 |
| Provider Name | Gary J Garfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083608657 PECOS PAC ID: 4789640392 Enrollment ID: I20041206000785 |
| Provider Name | Gabriel E Gemayel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790769735 PECOS PAC ID: 6608829379 Enrollment ID: I20050223000306 |
| Provider Name | Anju B Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497782809 PECOS PAC ID: 1052352002 Enrollment ID: I20050519000584 |
| Provider Name | Kristen M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255516373 PECOS PAC ID: 9032288659 Enrollment ID: I20080521000688 |
| Provider Name | Gregory Altimari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952603052 PECOS PAC ID: 7517182587 Enrollment ID: I20140707001647 |
| Provider Name | Asif Jawaid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922483841 PECOS PAC ID: 5092029975 Enrollment ID: I20150805009229 |
| Provider Name | Jordan A Turk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851670897 PECOS PAC ID: 3577790153 Enrollment ID: I20171129001745 |
| Provider Name | Tamika Denee Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457861080 PECOS PAC ID: 5395009187 Enrollment ID: I20180502001933 |
| Provider Name | Alberto A Sabates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902293475 PECOS PAC ID: 6103117775 Enrollment ID: I20181012002678 |
| Provider Name | Kevin Dennis Ergle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982964870 PECOS PAC ID: 1254566276 Enrollment ID: I20190905002726 |
| Provider Name | Celia Martini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215581152 PECOS PAC ID: 7618306093 Enrollment ID: I20200406002927 |
| Provider Name | Vladyslava Bazylevska |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174932495 PECOS PAC ID: 1254630379 Enrollment ID: I20200709000780 |
| Provider Name | Ileana Ramos Estevez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518395110 PECOS PAC ID: 0244628840 Enrollment ID: I20211101003057 |
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