| Palm Beach Med-care Pa | |
|
1500 N Dixie Hwy Suite 205 West Palm Beach FL 33401-2712 | |
| (561) 835-8787 | |
| Not Available |
| Full Name | Palm Beach Med-care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 N Dixie Hwy, West Palm Beach, Florida |
| Authorized Official Name and Position | Hashem Khorassani (PRESIDENT) |
| Authorized Official Contact | 5618358787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Med-care Pa 1500 N Dixie Hwy Suite 205 West Palm Beach FL 33401-2712 Ph: (561) 835-8787 | Palm Beach Med-care Pa 1500 N Dixie Hwy Suite 205 West Palm Beach FL 33401-2712 Ph: (561) 835-8787 |
| NPI Number | 1255525986 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/03/2008 |
| Medicare PECOS PAC ID | 5395767628 |
|---|---|
| Medicare Enrollment ID | O20051229000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255525986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hashem M Khorassani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629148382 PECOS PAC ID: 3476575705 Enrollment ID: I20051230000235 |
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