| Palm Harbor Internal Medicine And Pediatrics, Pa | |
|
3890 Tampa Rd Suite 101 Palm Harbor FL 34684-3676 | |
| (727) 789-5811 | |
| (727) 786-8417 |
| Full Name | Palm Harbor Internal Medicine And Pediatrics, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3890 Tampa Rd, Palm Harbor, Florida |
| Authorized Official Name and Position | Gary M Goldstein (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 7277895811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Harbor Internal Medicine And Pediatrics, Pa 3890 Tampa Rd Suite 101 Palm Harbor FL 34684-3676 Ph: (727) 789-5811 | Palm Harbor Internal Medicine And Pediatrics, Pa 3890 Tampa Rd Suite 101 Palm Harbor FL 34684-3676 Ph: (727) 789-5811 |
| NPI Number | 1073570511 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 10/02/2013 |
| Medicare PECOS PAC ID | 2365343464 |
|---|---|
| Medicare Enrollment ID | O20040120000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073570511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Gary Michael Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215995345 PECOS PAC ID: 7517868623 Enrollment ID: I20100820000916 |
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