| Merna Matilsky Md Pa | |
|
2900 N Military Trl Suite #245 Boca Raton FL 33431-6365 | |
| (561) 994-2007 | |
| (561) 364-0418 |
| Full Name | Merna Matilsky Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 N Military Trl, Boca Raton, Florida |
| Authorized Official Name and Position | Merna Karen Matilsky (OWNER) |
| Authorized Official Contact | 5619942007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merna Matilsky Md Pa 2900 N Military Trl Suite #245 Boca Raton FL 33431-6365 Ph: (561) 994-2007 | Merna Matilsky Md Pa 2900 N Military Trl Suite #245 Boca Raton FL 33431-6365 Ph: (561) 994-2007 |
| NPI Number | 1154341493 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 6406873322 |
|---|---|
| Medicare Enrollment ID | O20051031000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154341493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0076956 (Florida) | Primary |
| Provider Name | Merna R Matilsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881614113 PECOS PAC ID: 3173598521 Enrollment ID: I20040830000226 |
| Provider Name | Shoshana B Kassorla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912504051 PECOS PAC ID: 1456764661 Enrollment ID: I20210107001976 |
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