Gator Medical Health Inc | |
900 Village Square Xing Ste 130 Palm Beach Gardens FL 33410-4547 | |
(561) 775-0335 | |
(561) 775-9492 |
Full Name | Gator Medical Health Inc |
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Speciality | Internal Medicine |
Location | 900 Village Square Xing Ste 130, Palm Beach Gardens, Florida |
Authorized Official Name and Position | Javier Canasi (PRESIDENT) |
Authorized Official Contact | 5617750335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gator Medical Health Inc 900 Village Square Xing Ste 130 Palm Beach Gardens FL 33410-4547 Ph: (561) 775-0335 | Gator Medical Health Inc 900 Village Square Xing Ste 130 Palm Beach Gardens FL 33410-4547 Ph: (561) 775-0335 |
NPI Number | 1154784932 |
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Provider Enumeration Date | 03/30/2016 |
Last Update Date | 05/17/2022 |
Medicare PECOS PAC ID | 4880980416 |
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Medicare Enrollment ID | O20160908001227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154784932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME54757 (Florida) | Primary |
Provider Name | Javier J Canasi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396774584 PECOS PAC ID: 3072575893 Enrollment ID: I20041103000201 |
Provider Name | Jamie Renee Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073096236 PECOS PAC ID: 9032451786 Enrollment ID: I20190429000949 |
Provider Name | Kathleen Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821588229 PECOS PAC ID: 0648642298 Enrollment ID: I20230208002975 |
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