| Palm Beach Id Associates, Llc | |
|
227 Professional Way Wellington FL 33414-6392 | |
| (937) 581-8303 | |
| Not Available |
| Full Name | Palm Beach Id Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 227 Professional Way, Wellington, Florida |
| Authorized Official Name and Position | Darmaan O. Aden (CEO) |
| Authorized Official Contact | 5613188440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Id Associates, Llc 227 Professional Way Wellington FL 33414-6392 Ph: (561) 318-8440 | Palm Beach Id Associates, Llc 227 Professional Way Wellington FL 33414-6392 Ph: (937) 581-8303 |
| NPI Number | 1235403833 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 0143640938 |
|---|---|
| Medicare Enrollment ID | O20201016000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235403833 | NPI | - | NPPES |
| Provider Name | Ramprasad Gopalan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841393303 PECOS PAC ID: 1759376304 Enrollment ID: I20040414001992 |
| Provider Name | Inemesit Umoren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770639676 PECOS PAC ID: 0547308561 Enrollment ID: I20091112000259 |
| Provider Name | Darmaan O Aden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578696373 PECOS PAC ID: 0941393847 Enrollment ID: I20110119000813 |
| Provider Name | Ashraf A. M. Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679690093 PECOS PAC ID: 7911080262 Enrollment ID: I20200317001507 |
| Provider Name | Sarina T Ken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467050393 PECOS PAC ID: 6002219821 Enrollment ID: I20210730000502 |
| Provider Name | Tapuwa D Matondo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780073742 PECOS PAC ID: 6204129422 Enrollment ID: I20220411001817 |
| Provider Name | Jane Longares |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245770163 PECOS PAC ID: 6406265123 Enrollment ID: I20221101001617 |
| Provider Name | Marise-jasmine Metayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317065 PECOS PAC ID: 1456729821 Enrollment ID: I20221116002911 |
| Provider Name | Gabriel A Vilchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407274491 PECOS PAC ID: 6002168192 Enrollment ID: I20230908003416 |
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