Kyrillos Medical Care Llc. | |
170 Ne 2nd St # 23 Boca Raton FL 33429-5001 | |
(561) 322-6547 | |
Not Available |
Full Name | Kyrillos Medical Care Llc. |
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Speciality | Family Medicine |
Location | 170 Ne 2nd St, Boca Raton, Florida |
Authorized Official Name and Position | Sara Wahba (OWNER) |
Authorized Official Contact | 5613226547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kyrillos Medical Care Llc. 170 Ne 2nd St # 23 Boca Raton FL 33429-5001 Ph: (561) 322-6547 | Kyrillos Medical Care Llc. 170 Ne 2nd St # 23 Boca Raton FL 33429-5001 Ph: (561) 322-6547 |
NPI Number | 1184017535 |
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Provider Enumeration Date | 03/10/2015 |
Last Update Date | 10/09/2015 |
Medicare PECOS PAC ID | 3173830692 |
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Medicare Enrollment ID | O20150916001747 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184017535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | ME96596 (Florida) | Primary |
Provider Name | Sara Wahba |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902980642 PECOS PAC ID: 0345335790 Enrollment ID: I20071001000587 |
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