Medimore Md | |
12797 Forest Hill Blvd Ste B Wellington FL 33414-4763 | |
(561) 467-5232 | |
(561) 461-1320 |
Full Name | Medimore Md |
---|---|
Speciality | Internal Medicine |
Location | 12797 Forest Hill Blvd Ste B, Wellington, Florida |
Authorized Official Name and Position | Juan F. Zapata (MANAGING MEMBER) |
Authorized Official Contact | 2394705539 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Medimore Md 12797 Forest Hill Blvd Ste B Wellington FL 33414-4763 Ph: (561) 467-5232 | Medimore Md 12797 Forest Hill Blvd Ste B Wellington FL 33414-4763 Ph: (561) 467-5232 |
NPI Number | 1861167686 |
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Provider Enumeration Date | 08/13/2021 |
Last Update Date | 12/08/2022 |
Medicare PECOS PAC ID | 5991191611 |
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Medicare Enrollment ID | O20220406001346 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861167686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Juan F Zapata |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184668618 PECOS PAC ID: 3375507114 Enrollment ID: I20140116000713 |
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