Infectious Diseases Consultants Of The Treasure Coast, Pa | |
1627 Us Highway 1 Ste 208 Sebastian FL 32958-3464 | |
(772) 299-7009 | |
(772) 562-7138 |
Full Name | Infectious Diseases Consultants Of The Treasure Coast, Pa |
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Speciality | Internal Medicine |
Location | 1627 Us Highway 1 Ste 208, Sebastian, Florida |
Authorized Official Name and Position | Laurie Ann Welton (PRESIDENT) |
Authorized Official Contact | 7722997009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Diseases Consultants Of The Treasure Coast, Pa 1627 Us Highway 1 Ste 208 Sebastian FL 32958-3464 Ph: (772) 299-7009 | Infectious Diseases Consultants Of The Treasure Coast, Pa 1627 Us Highway 1 Ste 208 Sebastian FL 32958-3464 Ph: (772) 299-7009 |
NPI Number | 1790828440 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 11/04/2024 |
Medicare PECOS PAC ID | 5698708139 |
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Medicare Enrollment ID | O20050914001206 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790828440 | NPI | - | NPPES |
DD7741 | Other | FL | RAILROAD |
P00250143 | Other | FL | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | OS8950 (Florida) | Primary |
Provider Name | Laurie A Welton |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1215914353 PECOS PAC ID: 0042273831 Enrollment ID: I20041111000943 |
Provider Name | Brittney Olson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982392536 PECOS PAC ID: 7719345115 Enrollment ID: I20230616000514 |
Provider Name | Alyssa Joan White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205526894 PECOS PAC ID: 4284098211 Enrollment ID: I20230911000183 |
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