| Kingsley Clinic Of Florida Llc | |
|
5550 Glades Rd Ste 500 Boca Raton FL 33431-7277 | |
| (530) 305-7637 | |
| Not Available |
| Full Name | Kingsley Clinic Of Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5550 Glades Rd Ste 500, Boca Raton, Florida |
| Authorized Official Name and Position | James Kingsley (OWNER) |
| Authorized Official Contact | 5303057637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsley Clinic Of Florida Llc 33471 Biltmore Dr Temecula CA 92592-1849 Ph: (530) 305-7637 | Kingsley Clinic Of Florida Llc 5550 Glades Rd Ste 500 Boca Raton FL 33431-7277 Ph: (530) 305-7637 |
| NPI Number | 1609450345 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 0143607713 |
|---|---|
| Medicare Enrollment ID | O20220520000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609450345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | James Ralph Kingsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841687142 PECOS PAC ID: 8325316326 Enrollment ID: I20220520000236 |
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