Palm Medical Center Lakeland Llc | |
5258 Linton Blvd Ste 301 Delray Beach FL 33484-6539 | |
(561) 819-5447 | |
(561) 819-5496 |
Full Name | Palm Medical Center Lakeland Llc |
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Speciality | Internal Medicine |
Location | 5258 Linton Blvd Ste 301, Delray Beach, Florida |
Authorized Official Name and Position | Carmel N Boswell (CREDENTIALING MANAGER) |
Authorized Official Contact | 8135387880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Palm Medical Center Lakeland Llc 5258 Linton Blvd Ste 301 Delray Beach FL 33484-6539 Ph: (561) 819-5447 | Palm Medical Center Lakeland Llc 5258 Linton Blvd Ste 301 Delray Beach FL 33484-6539 Ph: (561) 819-5447 |
NPI Number | 1710620885 |
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Provider Enumeration Date | 04/18/2022 |
Last Update Date | 04/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710620885 | NPI | - | NPPES |
276547100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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