Pcc Medical Holdings Llc | |
5055 South Congress Avenue Suite 303 Lake Worth FL 33461 | |
(561) 385-0731 | |
(561) 629-7302 |
Full Name | Pcc Medical Holdings Llc |
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Speciality | Internal Medicine |
Location | 5055 South Congress Avenue, Lake Worth, Florida |
Authorized Official Name and Position | William Steele (CEO) |
Authorized Official Contact | 5613850731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pcc Medical Holdings Llc 1732 S Congress Ave Ste 346 Palm Springs FL 33461-2140 Ph: (561) 385-0731 | Pcc Medical Holdings Llc 5055 South Congress Avenue Suite 303 Lake Worth FL 33461 Ph: (561) 385-0731 |
NPI Number | 1174167993 |
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Provider Enumeration Date | 11/05/2019 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 0446679468 |
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Medicare Enrollment ID | O20200924001757 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174167993 | NPI | - | NPPES |
Provider Name | Timothy R Willingham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184676132 PECOS PAC ID: 5294728325 Enrollment ID: I20040405001890 |
Provider Name | Adam T Aroyo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336137843 PECOS PAC ID: 6709867195 Enrollment ID: I20040601000660 |
Provider Name | Quazi Bari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164463824 PECOS PAC ID: 5193709145 Enrollment ID: I20040616000962 |
Provider Name | Ducarmel Augustin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154435634 PECOS PAC ID: 7911983051 Enrollment ID: I20040629000226 |
Provider Name | Barbara Martin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518981885 PECOS PAC ID: 0244207223 Enrollment ID: I20040910000811 |
Provider Name | Roger J Nicosia |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1548213697 PECOS PAC ID: 4082508684 Enrollment ID: I20050413000335 |
Provider Name | Michele F Libman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619946597 PECOS PAC ID: 2668412024 Enrollment ID: I20050505000513 |
Provider Name | Amena N Haq |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598820623 PECOS PAC ID: 8325081508 Enrollment ID: I20050608000748 |
Provider Name | Mir A Alikhan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821054008 PECOS PAC ID: 7517902257 Enrollment ID: I20050623000318 |
Provider Name | Evon Bekhit |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1225042526 PECOS PAC ID: 8123059243 Enrollment ID: I20050829000083 |
Provider Name | Rosa M Cuello Suarez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265628176 PECOS PAC ID: 7113942830 Enrollment ID: I20051026000908 |
Provider Name | Marina Rabkin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366492951 PECOS PAC ID: 4789603838 Enrollment ID: I20051117000397 |
Provider Name | Alan Katz |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1861489023 PECOS PAC ID: 9234143504 Enrollment ID: I20060126000305 |
Provider Name | Marie Bernadette Samson-joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942350848 PECOS PAC ID: 7214943414 Enrollment ID: I20060224000638 |
Provider Name | Angel R Mesa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477761898 PECOS PAC ID: 1254426604 Enrollment ID: I20071001000589 |
Provider Name | Anthony M Maher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982678355 PECOS PAC ID: 9335126051 Enrollment ID: I20080818000358 |
Provider Name | Sarah E Mayer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477796589 PECOS PAC ID: 1850440900 Enrollment ID: I20090519000585 |
Provider Name | Jean Claude Labissiere |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780644385 PECOS PAC ID: 9335135128 Enrollment ID: I20090528000645 |
Provider Name | Smith Joseph |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851376552 PECOS PAC ID: 1153455209 Enrollment ID: I20100811001090 |
Provider Name | Susana G Perez Diaz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295926749 PECOS PAC ID: 9537285598 Enrollment ID: I20100927001355 |
Provider Name | Martin S Stone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639197247 PECOS PAC ID: 5597721191 Enrollment ID: I20101105000027 |
Provider Name | Argentina Brito - Benitez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154371953 PECOS PAC ID: 6204015399 Enrollment ID: I20110204000228 |
Provider Name | Saleem A Haq |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083779128 PECOS PAC ID: 3779769856 Enrollment ID: I20110526000050 |
Provider Name | Jean-michael Lamour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619951043 PECOS PAC ID: 3779761986 Enrollment ID: I20110616000681 |
Provider Name | Vincent C Chin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780777037 PECOS PAC ID: 4284811233 Enrollment ID: I20110714000719 |
Provider Name | Renes Castor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407830995 PECOS PAC ID: 2062680937 Enrollment ID: I20110720000090 |
Provider Name | Pedro Jorge Hernandez-rios |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568497485 PECOS PAC ID: 6709055924 Enrollment ID: I20110804000411 |
Provider Name | Jorge L Vazquez |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992990212 PECOS PAC ID: 4486823523 Enrollment ID: I20110808000283 |
Provider Name | Susan Ross |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1881648152 PECOS PAC ID: 8224068903 Enrollment ID: I20111201000123 |
Provider Name | David Abellard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083698401 PECOS PAC ID: 4385822592 Enrollment ID: I20120321000904 |
Provider Name | Lydie Pierre Louis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104800614 PECOS PAC ID: 0244494425 Enrollment ID: I20120620000240 |
Provider Name | Tapaswini Trivedi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215972021 PECOS PAC ID: 6305852229 Enrollment ID: I20121025000625 |
Provider Name | Sailys Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407282858 PECOS PAC ID: 3375779077 Enrollment ID: I20131203000914 |
Provider Name | Juan Carlos Bayolo |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801848478 PECOS PAC ID: 2860440245 Enrollment ID: I20140102001082 |
Provider Name | Adline M Horta Velazquez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679654727 PECOS PAC ID: 0749214567 Enrollment ID: I20140925001914 |
Provider Name | Francisco R Oquendo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124107255 PECOS PAC ID: 7012919053 Enrollment ID: I20141201000418 |
Provider Name | Madigson R Soria |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1649588112 PECOS PAC ID: 5193043867 Enrollment ID: I20150408001906 |
Provider Name | Samantha Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700277217 PECOS PAC ID: 1850694290 Enrollment ID: I20160119002514 |
Provider Name | Kerri Anne Dembowske |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497927032 PECOS PAC ID: 2365726213 Enrollment ID: I20170221002512 |
Provider Name | Berline Paulino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689199655 PECOS PAC ID: 4688935059 Enrollment ID: I20180227001480 |
Provider Name | Marieli Milagros Mayoral |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1679971881 PECOS PAC ID: 0143523050 Enrollment ID: I20180507001509 |
Provider Name | Rachel Lynch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801354071 PECOS PAC ID: 0749521912 Enrollment ID: I20190416003002 |
Provider Name | Regine Barosy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548736218 PECOS PAC ID: 1951733591 Enrollment ID: I20191119003169 |
Provider Name | Ann-marie Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851936223 PECOS PAC ID: 7719313295 Enrollment ID: I20200131000048 |
Provider Name | Amilys Garcia Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902448228 PECOS PAC ID: 6507295672 Enrollment ID: I20200412000041 |
Provider Name | Andres Ramon Quevedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275000119 PECOS PAC ID: 5092123950 Enrollment ID: I20210415000065 |
Provider Name | Juan Galvan |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801381538 PECOS PAC ID: 6507266418 Enrollment ID: I20210615001542 |
Provider Name | Carolina Orozco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043889199 PECOS PAC ID: 3779987805 Enrollment ID: I20210811001099 |
Provider Name | Kristen Mcintyre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437824281 PECOS PAC ID: 1254737158 Enrollment ID: I20210901000171 |
Provider Name | Camille Hazlewood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083299325 PECOS PAC ID: 2264819895 Enrollment ID: I20220519001235 |
Provider Name | Akshay Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396394607 PECOS PAC ID: 3173900743 Enrollment ID: I20220520000130 |
Provider Name | Elizabeth Bauza Estrada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003465527 PECOS PAC ID: 1052798451 Enrollment ID: I20220524000322 |
Provider Name | Farrah Tetteh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942802384 PECOS PAC ID: 6406233840 Enrollment ID: I20220524002239 |
Provider Name | Araldo Lorenzo Ponce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831782143 PECOS PAC ID: 0042697401 Enrollment ID: I20220524002731 |
Provider Name | Carlos Castillo Basso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710556618 PECOS PAC ID: 5698153666 Enrollment ID: I20220602002375 |
Provider Name | Danielle Reid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114902996 PECOS PAC ID: 6800279787 Enrollment ID: I20220810003816 |
Provider Name | Yenmy Hernandez Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083341622 PECOS PAC ID: 7517343767 Enrollment ID: I20220926003069 |
Provider Name | Arturo Nmn Wong |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1245967462 PECOS PAC ID: 5799161071 Enrollment ID: I20221011000722 |
Provider Name | Ana Guerra Montano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891492088 PECOS PAC ID: 0244697902 Enrollment ID: I20230612001612 |
Provider Name | Lawrence Perin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881731404 PECOS PAC ID: 8325943343 Enrollment ID: I20230623003174 |
Provider Name | Damary Hernandez Ferras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124717418 PECOS PAC ID: 9830105253 Enrollment ID: I20230925003190 |
Provider Name | Donna Grumblis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093599417 PECOS PAC ID: 0042668774 Enrollment ID: I20231118000735 |
Provider Name | Marie Chery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235722562 PECOS PAC ID: 9830547215 Enrollment ID: I20231122003459 |
Hebridas Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 10th Ave N Ste 14, Lake Worth, FL 33461 Phone: 561-814-2888 | |
Moyenda Holistic Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9835 Lake Worth Rd Ste 16, Lake Worth, FL 33467 Phone: 954-774-1414 | |
Miami Florida Group Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 10th Ave N, Lake Worth, FL 33461 Phone: 786-429-0325 | |
Md Now Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Lantana Rd, Lake Worth, FL 33463 Phone: 561-963-9881 Fax: 877-910-5191 | |
Lifestyle Health & Wellness Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5414 Rivermill Ln, Lake Worth, FL 33463 Phone: 561-706-4392 | |
Bethel Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467 Phone: 561-433-9331 Fax: 561-433-8411 | |
Soma Medical Center Pa #5 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S Dixie Hwy, Lake Worth, FL 33460 Phone: 561-227-3993 Fax: 561-855-4308 |