| Humanity Md Llc | |
|
1630 S Congress Ave Ste 100 Palm Springs FL 33461-2171 | |
| (561) 472-2888 | |
| (561) 472-2889 |
| Full Name | Humanity Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1630 S Congress Ave Ste 100, Palm Springs, Florida |
| Authorized Official Name and Position | Colt R Dunteman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5616022737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanity Md Llc 1630 S Congress Ave Ste 100 Palm Springs FL 33461-2171 Ph: (561) 472-2888 | Humanity Md Llc 1630 S Congress Ave Ste 100 Palm Springs FL 33461-2171 Ph: (561) 472-2888 |
| NPI Number | 1154078400 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Medicare PECOS PAC ID | 6800273004 |
|---|---|
| Medicare Enrollment ID | O20220509001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154078400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Colt R Dunteman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497015531 PECOS PAC ID: 4183870660 Enrollment ID: I20150901001801 |
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