Hospitalist Gi Group Llc | |
10101 Forest Hill Blvd Wellington FL 33414-6103 | |
(561) 798-8500 | |
Not Available |
Full Name | Hospitalist Gi Group Llc |
---|---|
Speciality | Internal Medicine |
Location | 10101 Forest Hill Blvd, Wellington, Florida |
Authorized Official Name and Position | Daniela Ghiragossian (ADMINISTRATOR) |
Authorized Official Contact | 5612686509 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hospitalist Gi Group Llc 2326 S Congress Ave Ste 2d West Palm Beach FL 33406-7614 Ph: () - | Hospitalist Gi Group Llc 10101 Forest Hill Blvd Wellington FL 33414-6103 Ph: (561) 798-8500 |
NPI Number | 1871225912 |
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Provider Enumeration Date | 06/28/2022 |
Last Update Date | 06/28/2022 |
Medicare PECOS PAC ID | 2668843392 |
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Medicare Enrollment ID | O20230117001803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871225912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Abby Brockelbank |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043694656 PECOS PAC ID: 0345541447 Enrollment ID: I20151215000734 |
Provider Name | Brian K Hudes |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063488088 PECOS PAC ID: 4789618240 Enrollment ID: I20181119000683 |
Provider Name | Sagar Mehta |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1205002276 PECOS PAC ID: 8426228461 Enrollment ID: I20240131002711 |
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