| Flagler Medical Nursing Home Pa | |
|
1552 Palm Beach Lakes Blvd West Palm Beach FL 33401-2302 | |
| (561) 659-7411 | |
| (561) 659-7423 |
| Full Name | Flagler Medical Nursing Home Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1552 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Robert Steinberg (OWNER) |
| 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 Nursing Home Pa 1552 Palm Beach Lakes Blvd West Palm Beach FL 33401-2302 Ph: (561) 659-7411 | Flagler Medical Nursing Home Pa 1552 Palm Beach Lakes Blvd West Palm Beach FL 33401-2302 Ph: (561) 659-7411 |
| NPI Number | 1427501170 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 07/29/2016 |
| Medicare PECOS PAC ID | 9436446671 |
|---|---|
| Medicare Enrollment ID | O20161003000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427501170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME53732 (Florida) | Primary |
| Provider Name | Diana A Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033147616 PECOS PAC ID: 0648261230 Enrollment ID: I20040521000726 |
| 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 | Beverly Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396968145 PECOS PAC ID: 0042308264 Enrollment ID: I20071121000198 |
| 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 | Robert A Steinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568524544 PECOS PAC ID: 8022145283 Enrollment ID: I20110322000620 |
| Provider Name | Lisa D Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447294541 PECOS PAC ID: 9436384369 Enrollment ID: I20131031001457 |
| Provider Name | Jasmine M Scott-sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033357728 PECOS PAC ID: 9830320654 Enrollment ID: I20150401002439 |
| Provider Name | Judy-ann S Wellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902324452 PECOS PAC ID: 1759625908 Enrollment ID: I20181129001237 |
| Provider Name | Rhonda D Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184112765 PECOS PAC ID: 3375881519 Enrollment ID: I20190213000753 |
| Provider Name | Ann-marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231405 PECOS PAC ID: 1557798295 Enrollment ID: I20200219001005 |
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