| Johnson Medical Services Corporation | |
|
2531 N Dixie Hwy Lake Worth FL 33460-6250 | |
| (561) 582-0330 | |
| (561) 582-0339 |
| Full Name | Johnson Medical Services Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2531 N Dixie Hwy, Lake Worth, Florida |
| Authorized Official Name and Position | Maria Urbina (ADMINISTRATOR) |
| Authorized Official Contact | 5615820330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Medical Services Corporation 2531 N Dixie Hwy Lake Worth FL 33460-6250 Ph: (561) 582-0330 | Johnson Medical Services Corporation 2531 N Dixie Hwy Lake Worth FL 33460-6250 Ph: (561) 582-0330 |
| NPI Number | 1285871665 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 04/10/2021 |
| Medicare PECOS PAC ID | 9931256971 |
|---|---|
| Medicare Enrollment ID | O20090619000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285871665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Rafael A Ubeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699724005 PECOS PAC ID: 9133180318 Enrollment ID: I20041021000165 |
| Provider Name | Gonzalo Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477621373 PECOS PAC ID: 5496735342 Enrollment ID: I20080508000296 |
| Provider Name | Manuel Abreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124256797 PECOS PAC ID: 1456499524 Enrollment ID: I20091110000381 |
| Provider Name | Julio Cesar Castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376021352 PECOS PAC ID: 5597158634 Enrollment ID: I20220212000046 |
| Provider Name | Maritza Fiesco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992384424 PECOS PAC ID: 7618313255 Enrollment ID: I20240306001601 |
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