| Greenacres Health & Rehab Llc | |
|
4010 S 57th Ave Ste 101 Greenacres FL 33463-4301 | |
| (561) 964-9331 | |
| Not Available |
| Full Name | Greenacres Health & Rehab Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4010 S 57th Ave Ste 101, Greenacres, Florida |
| Authorized Official Name and Position | John Deluca (MGR) |
| Authorized Official Contact | 5619649331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenacres Health & Rehab Llc 4010 S 57th Ave Ste 101 Greenacres FL 33463-4301 Ph: (561) 964-9331 | Greenacres Health & Rehab Llc 4010 S 57th Ave Ste 101 Greenacres FL 33463-4301 Ph: (561) 964-9331 |
| NPI Number | 1164033718 |
|---|---|
| Provider Enumeration Date | 08/16/2020 |
| Last Update Date | 08/16/2020 |
| Medicare PECOS PAC ID | 8921400557 |
|---|---|
| Medicare Enrollment ID | O20210706001041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164033718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | John Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407050024 PECOS PAC ID: 5890821854 Enrollment ID: I20100329000851 |
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