| Primary Care Of Palm Beach | |
|
2150 Lake Ida Rd Suite#5 Delray Beach FL 33445-2443 | |
| (561) 330-3026 | |
| (561) 330-3027 |
| Full Name | Primary Care Of Palm Beach |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Lake Ida Rd, Delray Beach, Florida |
| Authorized Official Name and Position | Mrunalini Kavuri (PRESIDENT) |
| Authorized Official Contact | 5613303026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Palm Beach 2150 Lake Ida Rd Suite#5 Delray Beach FL 33445-2443 Ph: (561) 330-3026 | Primary Care Of Palm Beach 2150 Lake Ida Rd Suite#5 Delray Beach FL 33445-2443 Ph: (561) 330-3026 |
| NPI Number | 1134302557 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 5890873244 |
|---|---|
| Medicare Enrollment ID | O20080424000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134302557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME98282 (Florida) | Primary |
| Provider Name | Mrunalini Kavuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063639516 PECOS PAC ID: 1355429705 Enrollment ID: I20080424000734 |
| Provider Name | Sabrina Mia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649505314 PECOS PAC ID: 3577717164 Enrollment ID: I20130207000074 |
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