| Custom Care Medical Pllc | |
|
3345 Burns Rd Ste 101 Palm Beach Gardens FL 33410-4304 | |
| (561) 622-7606 | |
| (561) 622-6775 |
| Full Name | Custom Care Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3345 Burns Rd Ste 101, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Frank Contacessa (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5616227606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Care Medical Pllc 3345 Burns Rd Ste 101 Palm Beach Gardens FL 33410-4304 Ph: (561) 622-7606 | Custom Care Medical Pllc 3345 Burns Rd Ste 101 Palm Beach Gardens FL 33410-4304 Ph: (561) 622-7606 |
| NPI Number | 1942926001 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 8022486596 |
|---|---|
| Medicare Enrollment ID | O20221115002178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942926001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank J Contacessa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654172 PECOS PAC ID: 4183630965 Enrollment ID: I20221117000302 |
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