Medclub By Dr. Jenn | |
224 Datura St Ste 315 West Palm Beach FL 33401-5631 | |
(561) 214-3323 | |
Not Available |
Full Name | Medclub By Dr. Jenn |
---|---|
Speciality | Clinic/center |
Location | 224 Datura St Ste 315, West Palm Beach, Florida |
Authorized Official Name and Position | Zaqueri Wayne Wilson (PRACTICE MANAGER/CO-OWNER) |
Authorized Official Contact | 5612143323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medclub By Dr. Jenn 224 Datura St Ste 315 West Palm Beach FL 33401-5631 Ph: (561) 214-3323 | Medclub By Dr. Jenn 224 Datura St Ste 315 West Palm Beach FL 33401-5631 Ph: (561) 214-3323 |
NPI Number | 1821505215 |
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Provider Enumeration Date | 01/07/2018 |
Last Update Date | 01/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821505215 | NPI | - | NPPES |
1598081416 | Other | FL | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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