Pharmxhealthone | |
1054 Gateway Blvd, Suite 103 Boynton Beach FL 33426-8315 | |
(561) 847-4654 | |
(561) 847-4956 |
Full Name | Pharmxhealthone |
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Speciality | Family Medicine |
Location | 1054 Gateway Blvd, Suite 103, Boynton Beach, Florida |
Authorized Official Name and Position | Quetel Osterval (PRESIDENT/CEO) |
Authorized Official Contact | 7722339103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pharmxhealthone Po Box 2454 Palm Beach FL 33480-2454 Ph: (772) 233-9103 | Pharmxhealthone 1054 Gateway Blvd, Suite 103 Boynton Beach FL 33426-8315 Ph: (561) 847-4654 |
NPI Number | 1578954996 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 09/21/2023 |
Medicare PECOS PAC ID | 4183045297 |
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Medicare Enrollment ID | O20200528000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578954996 | NPI | - | NPPES |
Provider Name | David N Peterson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831477397 PECOS PAC ID: 6800789462 Enrollment ID: I20040206000138 |
Provider Name | Patricia Pomareda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760885420 PECOS PAC ID: 3173840618 Enrollment ID: I20150323001299 |
Provider Name | Rolando Alvarez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467577833 PECOS PAC ID: 5294041299 Enrollment ID: I20200528000110 |
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