| Flagler Medical Associates Pa | |
|
1552 Palm Beach Lakes Blvd West Palm Beach FL 33401-2302 | |
| (561) 659-7411 | |
| (561) 659-7423 |
| Full Name | Flagler Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1552 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Mark Rattinger (PRESIDENT) |
| Authorized Official Contact | 5616597411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagler Medical Associates Pa 1552 Palm Beach Lakes Blvd West Palm Beach FL 33401-2302 Ph: (561) 659-7411 | Flagler Medical Associates Pa 1552 Palm Beach Lakes Blvd West Palm Beach FL 33401-2302 Ph: (561) 659-7411 |
| NPI Number | 1295896025 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 04/14/2010 |
| Medicare PECOS PAC ID | 5799772596 |
|---|---|
| Medicare Enrollment ID | O20040426000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295896025 | NPI | - | NPPES |
| 015354 | Other | FL | AETNA |
| 99205 | Other | FL | BCBS |
| 100800 | Other | FL | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sridhar R Vennamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578548525 PECOS PAC ID: 1759334378 Enrollment ID: I20050223000725 |
| Provider Name | Karen B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598827644 PECOS PAC ID: 8628002128 Enrollment ID: I20050923000689 |
| Provider Name | Georgia F Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740237023 PECOS PAC ID: 6002817293 Enrollment ID: I20070131000409 |
| Provider Name | Daniel E Fortier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932173390 PECOS PAC ID: 6103990585 Enrollment ID: I20080801000627 |
| Provider Name | Ira Brassloff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013939834 PECOS PAC ID: 1456315993 Enrollment ID: I20100326000306 |
| Provider Name | Norberto Vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336114339 PECOS PAC ID: 0749239929 Enrollment ID: I20100726000197 |
| Provider Name | Mark D Rattinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104988195 PECOS PAC ID: 0042207847 Enrollment ID: I20110107000689 |
| Provider Name | Robert A Steinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568524544 PECOS PAC ID: 8022145283 Enrollment ID: I20110322000620 |
| Provider Name | Timothy W Mark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588725006 PECOS PAC ID: 3476680638 Enrollment ID: I20110322000869 |
| Provider Name | Mirta R Galante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215901285 PECOS PAC ID: 9739216995 Enrollment ID: I20111219000592 |
| Provider Name | Darlene M Edic-crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902039423 PECOS PAC ID: 6103064365 Enrollment ID: I20130529000583 |
| Provider Name | Lisa D Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447294541 PECOS PAC ID: 9436384369 Enrollment ID: I20131031001457 |
| Provider Name | Robert J Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265867600 PECOS PAC ID: 6204150139 Enrollment ID: I20150123000453 |
| Provider Name | Janice P Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033599170 PECOS PAC ID: 3577873355 Enrollment ID: I20151106000794 |
| Provider Name | Christal Louise Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750860367 PECOS PAC ID: 7517201809 Enrollment ID: I20220127000537 |
| Provider Name | Samantha E Steinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598328742 PECOS PAC ID: 8628310919 Enrollment ID: I20220823000868 |
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