| Driftwood Family Practice Pa | |
|
2163 South Us Hwy #1 Jupiter FL 33477-7338 | |
| (561) 746-0208 | |
| (561) 575-1267 |
| Full Name | Driftwood Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2163 South Us Hwy #1, Jupiter, Florida |
| Authorized Official Name and Position | Richard Alan Goldberg (PRESIDENT) |
| Authorized Official Contact | 5617460208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Driftwood Family Practice Pa 2163 South Us Hwy #1 Jupiter FL 33477-7338 Ph: (561) 746-0208 | Driftwood Family Practice Pa 2163 South Us Hwy #1 Jupiter FL 33477-7338 Ph: (561) 746-0208 |
| NPI Number | 1629296587 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143409318 |
|---|---|
| Medicare Enrollment ID | O20110120000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629296587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Beatriz Behar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376591990 PECOS PAC ID: 3678752847 Enrollment ID: I20110120000962 |
| Provider Name | Richard A Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982635595 PECOS PAC ID: 4587843750 Enrollment ID: I20110120001095 |
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