| Jata Care | |
|
1375 Gateway Blvd Boynton Beach FL 33426-8304 | |
| (561) 577-2734 | |
| Not Available |
| Full Name | Jata Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1375 Gateway Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Tamara Lynette Sukie (OWNER) |
| Authorized Official Contact | 5615621816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jata Care 1375 Gateway Blvd Ste 16 Boynton Beach FL 33426-8304 Ph: (561) 562-1816 | Jata Care 1375 Gateway Blvd Boynton Beach FL 33426-8304 Ph: (561) 577-2734 |
| NPI Number | 1821679911 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821679911 | NPI | - | NPPES |
| 1346632734 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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