| Palm Beach Gi | |
|
210 Jupiter Lakes Blvd Ste 106 Jupiter FL 33458-7187 | |
| (561) 619-7620 | |
| (561) 619-7864 |
| Full Name | Palm Beach Gi |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Jupiter Lakes Blvd Ste 106, Jupiter, Florida |
| Authorized Official Name and Position | Naveen Reddy (MD) |
| Authorized Official Contact | 5616197620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Gi 210 Jupiter Lakes Blvd Ste 106 Jupiter FL 33458-7187 Ph: (561) 619-7620 | Palm Beach Gi 210 Jupiter Lakes Blvd Ste 106 Jupiter FL 33458-7187 Ph: (561) 619-7620 |
| NPI Number | 1518486927 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 8022364827 |
|---|---|
| Medicare Enrollment ID | O20180710000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518486927 | NPI | - | NPPES |
| 101726600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME124075 (Florida) | Primary |
| Provider Name | Naveen V Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528296977 PECOS PAC ID: 0648580654 Enrollment ID: I20151103002429 |
| Provider Name | Isabella Castrillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952054074 PECOS PAC ID: 6103203856 Enrollment ID: I20220518001276 |
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