Gary Kabinoff Mdpa | |
665 Se Central Parkway Stuart FL 34994 | |
(772) 419-5959 | |
(772) 419-3047 |
Full Name | Gary Kabinoff Mdpa |
---|---|
Speciality | Internal Medicine |
Location | 665 Se Central Parkway, Stuart, Florida |
Authorized Official Name and Position | Gary S Kabinoff (PRESENT) |
Authorized Official Contact | 7724195959 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gary Kabinoff Mdpa 665 Se Central Parkway Stuart FL 34994 Ph: (772) 419-5959 | Gary Kabinoff Mdpa 665 Se Central Parkway Stuart FL 34994 Ph: (772) 419-5959 |
NPI Number | 1952476459 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 08/26/2022 |
Medicare PECOS PAC ID | 5395841936 |
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Medicare Enrollment ID | O20070427000538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952476459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME73342 (Florida) | Primary |
Provider Name | Gary S Kabinoff |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679540488 PECOS PAC ID: 2062309412 Enrollment ID: I20040302000095 |
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