| Mil-lake Healthcare Center, Inc. | |
|
4849 Lake Worth Road Greenacres FL 33463 | |
| (561) 433-4446 | |
| (561) 433-3026 |
| Full Name | Mil-lake Healthcare Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4849 Lake Worth Road, Greenacres, Florida |
| Authorized Official Name and Position | David M Abellard (OWNER) |
| Authorized Official Contact | 5614334446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mil-lake Healthcare Center, Inc. 4849 Lake Worth Road Greenacres FL 33463 Ph: (561) 433-4446 | Mil-lake Healthcare Center, Inc. 4849 Lake Worth Road Greenacres FL 33463 Ph: (561) 433-4446 |
| NPI Number | 1265416754 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 09/29/2015 |
| Medicare PECOS PAC ID | 2567640774 |
|---|---|
| Medicare Enrollment ID | O20110616000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265416754 | NPI | - | NPPES |
| 275691900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Yvrose Archange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902049216 PECOS PAC ID: 9830213677 Enrollment ID: I20100831000088 |
| Provider Name | Jean-michael Lamour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619951043 PECOS PAC ID: 3779761986 Enrollment ID: I20110616000681 |
| Provider Name | David Abellard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083698401 PECOS PAC ID: 4385822592 Enrollment ID: I20120321000904 |
| Provider Name | Lydie Pierre Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104800614 PECOS PAC ID: 0244494425 Enrollment ID: I20120620000240 |
| Provider Name | Garcia Lebrun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578584389 PECOS PAC ID: 3779718309 Enrollment ID: I20131106001362 |
| Provider Name | Gina Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346433737 PECOS PAC ID: 5991888919 Enrollment ID: I20140305000408 |
| Provider Name | Nathalie Bastien Montpeirous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598062630 PECOS PAC ID: 8123257185 Enrollment ID: I20141030002219 |
| Provider Name | Marie R Roger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033346507 PECOS PAC ID: 1951527365 Enrollment ID: I20150216001761 |
| Provider Name | Michelle Barthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952706947 PECOS PAC ID: 2365758505 Enrollment ID: I20150902000719 |
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