Health & Wellness Center Llc | |
1840 Forest Hill Blvd Suite 200 West Palm Beach FL 33406-6063 | |
(561) 683-4100 | |
(561) 683-4755 |
Full Name | Health & Wellness Center Llc |
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Speciality | Internal Medicine |
Location | 1840 Forest Hill Blvd, West Palm Beach, Florida |
Authorized Official Name and Position | Shamsad Begum (PRESIDENT) |
Authorized Official Contact | 5616834100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health & Wellness Center Llc 1195 N Military Trl Suite 2a West Palm Beach FL 33409-6058 Ph: (561) 683-4100 | Health & Wellness Center Llc 1840 Forest Hill Blvd Suite 200 West Palm Beach FL 33406-6063 Ph: (561) 683-4100 |
NPI Number | 1396154340 |
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Provider Enumeration Date | 08/04/2014 |
Last Update Date | 02/04/2015 |
Medicare PECOS PAC ID | 0042535569 |
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Medicare Enrollment ID | O20150204001233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396154340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME73778 (Florida) | Primary |
Provider Name | Shamsad Begum |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386629673 PECOS PAC ID: 3971629338 Enrollment ID: I20101108000431 |
Provider Name | Great Patoombal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104362904 PECOS PAC ID: 1052683117 Enrollment ID: I20170824000585 |
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