| Med Connect Fl | |
|
123 Nw 13th St Ste 218 Boca Raton FL 33432-1619 | |
| (786) 440-1261 | |
| Not Available |
| Full Name | Med Connect Fl |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 Nw 13th St Ste 218, Boca Raton, Florida |
| Authorized Official Name and Position | Lidia Tunyan (OWNER) |
| Authorized Official Contact | 7864401261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Connect Fl 123 Nw 13th St Ste 218 Boca Raton FL 33432-1619 Ph: () - | Med Connect Fl 123 Nw 13th St Ste 218 Boca Raton FL 33432-1619 Ph: (786) 440-1261 |
| NPI Number | 1528763869 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Medicare PECOS PAC ID | 2961862065 |
|---|---|
| Medicare Enrollment ID | O20230720004146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528763869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Lidia Tunyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336853779 PECOS PAC ID: 3870953979 Enrollment ID: I20230726000876 |
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