| Morselife Housing Corporation | |
|
4920 Loring Dr West Palm Beach FL 33417-8052 | |
| (561) 209-6123 | |
| (561) 209-6355 |
| Full Name | Morselife Housing Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4920 Loring Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Randy Wolan (CONTROLLER) |
| Authorized Official Contact | 5612096108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morselife Housing Corporation 4847 David S Mack Dr West Palm Beach FL 33417-8023 Ph: (561) 209-6123 | Morselife Housing Corporation 4920 Loring Dr West Palm Beach FL 33417-8052 Ph: (561) 209-6123 |
| NPI Number | 1558319756 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 8224090311 |
|---|---|
| Medicare Enrollment ID | O20041101000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558319756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
| Provider Name | Nils Erik Westerlund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194742171 PECOS PAC ID: 1052214988 Enrollment ID: I20040129000087 |
| Provider Name | Ivan Merkelj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205950177 PECOS PAC ID: 3870568306 Enrollment ID: I20040830000037 |
| Provider Name | Karl M Dhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134101124 PECOS PAC ID: 1355303660 Enrollment ID: I20041029000278 |
| Provider Name | Janet M Cripanuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861407579 PECOS PAC ID: 4284783689 Enrollment ID: I20090513000622 |
| Provider Name | Sophia D. Lyn-chinque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467823294 PECOS PAC ID: 8628372117 Enrollment ID: I20160203001205 |
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