| Grace Medical Center Of Florida, Inc. | |
|
4212 Northlake Blvd Palm Beach Gardens FL 33410-6252 | |
| (561) 841-6252 | |
| Not Available |
| Full Name | Grace Medical Center Of Florida, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4212 Northlake Blvd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Wyslaine Lamontagne (PRESIDENT) |
| Authorized Official Contact | 5618416252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Center Of Florida, Inc. 4212 Northlake Blvd Palm Beach Gardens FL 33410-6252 Ph: (561) 841-6252 | Grace Medical Center Of Florida, Inc. 4212 Northlake Blvd Palm Beach Gardens FL 33410-6252 Ph: (561) 841-6252 |
| NPI Number | 1235564303 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 07/03/2014 |
| Medicare PECOS PAC ID | 6406085695 |
|---|---|
| Medicare Enrollment ID | O20140211000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235564303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wyslaine Lamontagne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811182918 PECOS PAC ID: 6103970876 Enrollment ID: I20111205000854 |
| Provider Name | Corine Deronvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164862215 PECOS PAC ID: 1153619762 Enrollment ID: I20161014000895 |
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University Of Miami Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Pga Blvd, Suite 400, Palm Beach Gardens, FL 33410 Phone: 561-368-3627 | |
Bruce M Grossman M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3370 Burns Rd, 105, Palm Beach Gardens, FL 33410 Phone: 561-691-9660 Fax: 561-691-9633 | |
Family Practice & Internal Medicine Of The Palm Beaches Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3401 Pga Blvd, Suite 430, Palm Beach Gardens, FL 33410 Phone: 561-776-8891 Fax: 561-776-8503 | |
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