Internal Medicine Of Boynton Beach | |
1700 W Woolbright Rd Suite #5 Boynton Beach FL 33426-6346 | |
(561) 369-2144 | |
(561) 369-2117 |
Full Name | Internal Medicine Of Boynton Beach |
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Speciality | Internal Medicine |
Location | 1700 W Woolbright Rd, Boynton Beach, Florida |
Authorized Official Name and Position | Gerardo Quinonez (MEDICAL DIRECTOR) |
Authorized Official Contact | 5613692144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Of Boynton Beach 1700 W Woolbright Rd Suite #5 Boynton Beach FL 33426-6346 Ph: (561) 369-2144 | Internal Medicine Of Boynton Beach 1700 W Woolbright Rd Suite #5 Boynton Beach FL 33426-6346 Ph: (561) 369-2144 |
NPI Number | 1073533683 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 09/29/2008 |
Medicare PECOS PAC ID | 5799782207 |
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Medicare Enrollment ID | O20100215000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073533683 | NPI | - | NPPES |
264184400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME80428 (Florida) | Primary |
Provider Name | Gerardo Quinonez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124023239 PECOS PAC ID: 5597656355 Enrollment ID: I20040322001190 |
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