Patient Preference Care Pl | |
1912 Nw San Souci St Stuart FL 34994-9405 | |
(772) 834-5393 | |
Not Available |
Full Name | Patient Preference Care Pl |
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Speciality | Internal Medicine |
Location | 1912 Nw San Souci St, Stuart, Florida |
Authorized Official Name and Position | Paul Lowery (OWNER) |
Authorized Official Contact | 7728345393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patient Preference Care Pl 1912 Nw San Souci St Stuart FL 34994-9405 Ph: (772) 834-5393 | Patient Preference Care Pl 1912 Nw San Souci St Stuart FL 34994-9405 Ph: (772) 834-5393 |
NPI Number | 1780042796 |
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Provider Enumeration Date | 02/04/2016 |
Last Update Date | 02/04/2016 |
Medicare PECOS PAC ID | 5294023446 |
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Medicare Enrollment ID | O20161004001867 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780042796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS7450 (Florida) | Primary |
Provider Name | Paul A Lowery |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447272240 PECOS PAC ID: 6204963978 Enrollment ID: I20100429000054 |
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