| Ibis Medical Corporation | |
|
10151 Enterprise Ctr Suite 106 Boynton Beach FL 33437-3759 | |
| (561) 737-0211 | |
| (561) 737-7433 |
| Full Name | Ibis Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 10151 Enterprise Ctr, Boynton Beach, Florida |
| Authorized Official Name and Position | Bradley Towbin (PRESIDENT) |
| Authorized Official Contact | 5617370211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibis Medical Corporation Po Box 740177 Boynton Beach FL 33474-0177 Ph: (561) 740-2900 | Ibis Medical Corporation 10151 Enterprise Ctr Suite 106 Boynton Beach FL 33437-3759 Ph: (561) 737-0211 |
| NPI Number | 1255613881 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 09/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255613881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME65968 (Florida) | Primary |
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