| Juan E. Batista #2 | |
|
4623 Forest Hill Blvd Suite 112 West Palm Beach FL 33415-9121 | |
| (561) 433-0080 | |
| (561) 433-1668 |
| Full Name | Juan E. Batista #2 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4623 Forest Hill Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Amparo Gonzalez (OFFICE MANAGER) |
| Authorized Official Contact | 5614330080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan E. Batista #2 4623 Forest Hill Blvd Suite 112 West Palm Beach FL 33415-9121 Ph: (561) 433-0080 | Juan E. Batista #2 4623 Forest Hill Blvd Suite 112 West Palm Beach FL 33415-9121 Ph: (561) 433-0080 |
| NPI Number | 1598027427 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598027427 | NPI | - | NPPES |
| 271119201 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME109755 (Florida) | Primary |
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