| Medatlantic Physicians, P.a. | |
|
400 South Dixie Highway Suite 12 Lake Worth FL 33460 | |
| (561) 568-1272 | |
| (561) 345-3521 |
| Full Name | Medatlantic Physicians, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 South Dixie Highway, Lake Worth, Florida |
| Authorized Official Name and Position | Adriene Miller (PRESIDENT) |
| Authorized Official Contact | 5615681272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medatlantic Physicians, P.a. 400 South Dixie Highway Suite 12 Lake Worth FL 33460 Ph: (561) 568-1272 | Medatlantic Physicians, P.a. 400 South Dixie Highway Suite 12 Lake Worth FL 33460 Ph: (561) 568-1272 |
| NPI Number | 1740684257 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Medicare PECOS PAC ID | 2860715380 |
|---|---|
| Medicare Enrollment ID | O20150108000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740684257 | NPI | - | NPPES |
| 008044209 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adriene Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003897737 PECOS PAC ID: 9436274172 Enrollment ID: I20100917000418 |
| Provider Name | Jean-marc F Geneve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124368279 PECOS PAC ID: 6901045822 Enrollment ID: I20130625000254 |
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