| Florida Advanced Medical And Derm Aesthetics, Llc | |
|
17940 S Military Trl Ste 300 Boca Raton FL 33496-2412 | |
| (561) 994-2632 | |
| (561) 994-7358 |
| Full Name | Florida Advanced Medical And Derm Aesthetics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17940 S Military Trl Ste 300, Boca Raton, Florida |
| Authorized Official Name and Position | Anjan Patel (MANAGER) |
| Authorized Official Contact | 2154358011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Advanced Medical And Derm Aesthetics, Llc 13660 S Jog Rd Ste 1b Delray Beach FL 33446-3806 Ph: (561) 499-6622 | Florida Advanced Medical And Derm Aesthetics, Llc 17940 S Military Trl Ste 300 Boca Raton FL 33496-2412 Ph: (561) 994-2632 |
| NPI Number | 1174899082 |
|---|---|
| Provider Enumeration Date | 03/25/2012 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 4385880798 |
|---|---|
| Medicare Enrollment ID | O20130409000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174899082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Navneet K Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902049364 PECOS PAC ID: 1557513033 Enrollment ID: I20121207000224 |
| Provider Name | Anjan G Patel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255645156 PECOS PAC ID: 3173769940 Enrollment ID: I20130424000121 |
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