| Jag Medical Of Palm Beach Pa | |
|
6169 S Jog Rd Ste 4b Lake Worth FL 33467-6514 | |
| (561) 432-5101 | |
| (561) 432-1914 |
| Full Name | Jag Medical Of Palm Beach Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6169 S Jog Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Pedro A Sanchez (MEDICAL DOCTOR) |
| Authorized Official Contact | 5614325101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Medical Of Palm Beach Pa 6169 S Jog Rd Ste 4b Lake Worth FL 33467-6514 Ph: (561) 432-5101 | Jag Medical Of Palm Beach Pa 6169 S Jog Rd Ste 4b Lake Worth FL 33467-6514 Ph: (561) 432-5101 |
| NPI Number | 1881910073 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 7810162674 |
|---|---|
| Medicare Enrollment ID | O20111207000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881910073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0005893 (Florida) | Primary |
| Provider Name | Pedro A Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578636833 PECOS PAC ID: 1153340385 Enrollment ID: I20051117000124 |
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