Rapid Response Medical Llc | |
2093 Se Fern Park Dr Port St Lucie FL 34952-8005 | |
(772) 486-1135 | |
(772) 673-4623 |
Full Name | Rapid Response Medical Llc |
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Speciality | Internal Medicine |
Location | 2093 Se Fern Park Dr, Port St Lucie, Florida |
Authorized Official Name and Position | Carl Abdenroth (OWNER/ PROVIDER) |
Authorized Official Contact | 7724861135 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rapid Response Medical Llc 2093 Se Fern Park Dr Port St Lucie FL 34952-8005 Ph: (772) 486-1135 | Rapid Response Medical Llc 2093 Se Fern Park Dr Port St Lucie FL 34952-8005 Ph: (772) 486-1135 |
NPI Number | 1942942677 |
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Provider Enumeration Date | 04/12/2022 |
Last Update Date | 08/02/2022 |
Medicare PECOS PAC ID | 4981086964 |
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Medicare Enrollment ID | O20220808002461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942942677 | NPI | - | NPPES |
1124075197 | Other | FL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph R Cariello |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124075197 PECOS PAC ID: 8426018334 Enrollment ID: I20041014001164 |
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