| Healthy Living Visiting Physicians Llc | |
|
6901 Okeechobee Blvd Ste C12 West Palm Beach FL 33411-2512 | |
| (561) 469-7005 | |
| (561) 584-7208 |
| Full Name | Healthy Living Visiting Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6901 Okeechobee Blvd Ste C12, West Palm Beach, Florida |
| Authorized Official Name and Position | Marie C Aliza (CEO) |
| Authorized Official Contact | 9548959004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Visiting Physicians Llc 6901 Okeechobee Blvd Ste C12 West Palm Beach FL 33411-2512 Ph: (561) 469-7005 | Healthy Living Visiting Physicians Llc 6901 Okeechobee Blvd Ste C12 West Palm Beach FL 33411-2512 Ph: (561) 469-7005 |
| NPI Number | 1326565086 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 3577997089 |
|---|---|
| Medicare Enrollment ID | O20191216002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326565086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Renaud Saint-vil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033136007 PECOS PAC ID: 0840265146 Enrollment ID: I20100901000680 |
| Provider Name | Mahalah Louse U.j. Batto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598194441 PECOS PAC ID: 1850521055 Enrollment ID: I20140310001160 |
| Provider Name | Marie C Aliza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215355540 PECOS PAC ID: 4981823663 Enrollment ID: I20140910002503 |
| Provider Name | Jason M Lakatos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548609944 PECOS PAC ID: 3375851793 Enrollment ID: I20160920003089 |
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