Pramod Joseph Hospital Practice Llc | |
1700 S 23rd St Fort Pierce FL 34950-4803 | |
(772) 461-4000 | |
Not Available |
Full Name | Pramod Joseph Hospital Practice Llc |
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Speciality | Internal Medicine |
Location | 1700 S 23rd St, Fort Pierce, Florida |
Authorized Official Name and Position | Pramod Joseph (PRESIDENT) |
Authorized Official Contact | 9179026336 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pramod Joseph Hospital Practice Llc 2122 Milano Ct Palm Beach Gardens FL 33418-6705 Ph: (772) 567-6181 | Pramod Joseph Hospital Practice Llc 1700 S 23rd St Fort Pierce FL 34950-4803 Ph: (772) 461-4000 |
NPI Number | 1841924842 |
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Provider Enumeration Date | 07/14/2022 |
Last Update Date | 07/14/2022 |
Medicare PECOS PAC ID | 3678957693 |
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Medicare Enrollment ID | O20220825000400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841924842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Pramod Joseph |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1720222102 PECOS PAC ID: 1850446535 Enrollment ID: I20090901000626 |
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