| I.m.p.a.c.t Health Inc | |
|
724 39th St W Bradenton FL 34205-2454 | |
| (941) 303-4120 | |
| (949) 437-3960 |
| Full Name | I.m.p.a.c.t Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 724 39th St W, Bradenton, Florida |
| Authorized Official Name and Position | Vivian Robaina (OFFICE MANAGER) |
| Authorized Official Contact | 9413034120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I.m.p.a.c.t Health Inc 724 39th St W Bradenton FL 34205-2454 Ph: (941) 303-4120 | I.m.p.a.c.t Health Inc 724 39th St W Bradenton FL 34205-2454 Ph: (941) 303-4120 |
| NPI Number | 1427371921 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 4789822594 |
|---|---|
| Medicare Enrollment ID | O20130605000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427371921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Al William Robaina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780657817 PECOS PAC ID: 0840187613 Enrollment ID: I20040304000591 |
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