| Family Choice Medical Clinic Pa | |
|
4698 Forest Hill Blvd Suite B West Palm Beach FL 33415-5719 | |
| (410) 852-5138 | |
| (561) 247-7792 |
| Full Name | Family Choice Medical Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 4698 Forest Hill Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Chinyere Chris Mbaeri (PRESIDENT) |
| Authorized Official Contact | 4108525138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Choice Medical Clinic Pa 14834 Horseshoe Trce Wellington FL 33414-4032 Ph: (410) 852-5138 | Family Choice Medical Clinic Pa 4698 Forest Hill Blvd Suite B West Palm Beach FL 33415-5719 Ph: (410) 852-5138 |
| NPI Number | 1215232426 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 02/22/2011 |
| Medicare PECOS PAC ID | 3173708096 |
|---|---|
| Medicare Enrollment ID | O20110419000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215232426 | NPI | - | NPPES |
| ME101902 | Other | FL | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME101902 (Florida) | Primary |
| Provider Name | Chinyere C Mbaeri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912054297 PECOS PAC ID: 2668530700 Enrollment ID: I20081018000252 |
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