| North General Center Of Medicine | |
|
1325 S Congress Ave Ste 101 Boynton Beach FL 33426-5802 | |
| (561) 733-2929 | |
| (561) 736-8467 |
| Full Name | North General Center Of Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 S Congress Ave Ste 101, Boynton Beach, Florida |
| Authorized Official Name and Position | Jean Laventure Renelien (OWNER) |
| Authorized Official Contact | 5614146248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North General Center Of Medicine 1325 S Congress Ave Boynton Beach FL 33426-5876 Ph: (561) 733-2929 | North General Center Of Medicine 1325 S Congress Ave Ste 101 Boynton Beach FL 33426-5802 Ph: (561) 733-2929 |
| NPI Number | 1730397555 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 11/11/2022 |
| Medicare PECOS PAC ID | 9931383064 |
|---|---|
| Medicare Enrollment ID | O20110413000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730397555 | NPI | - | NPPES |
| 265955700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | ME86189 (Florida) | Secondary |
| Provider Name | Jean L Renelien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215958400 PECOS PAC ID: 1951208099 Enrollment ID: I20031216000870 |
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