| Flagler Square Wellness Center | |
|
1840 Forest Hill Blvd Suite 201 Lake Clarke Shores FL 33406-6063 | |
| (305) 698-4000 | |
| (305) 698-4014 |
| Full Name | Flagler Square Wellness Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1840 Forest Hill Blvd, Lake Clarke Shores, Florida |
| Authorized Official Name and Position | Gary A Robertson (OWNER) |
| Authorized Official Contact | 3056984000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagler Square Wellness Center 1840 Forest Hill Blvd Suite 201 Lake Clarke Shores FL 33406-6063 Ph: (305) 698-4000 | Flagler Square Wellness Center 1840 Forest Hill Blvd Suite 201 Lake Clarke Shores FL 33406-6063 Ph: (305) 698-4000 |
| NPI Number | 1285093179 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285093179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH6297 (Florida) | Primary |
Israel Machin Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1511 Forest Hill Blvd, Suite C, Lake Clarke Shores, FL 33406 Phone: 561-433-3556 Fax: 561-967-5559 |