| Renaissance Internal Medicine, P.a. | |
|
5210 Linton Blvd Ste 202 Delray Beach FL 33484 | |
| (561) 638-8484 | |
| (561) 638-8784 |
| Full Name | Renaissance Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5210 Linton Blvd Ste 202, Delray Beach, Florida |
| Authorized Official Name and Position | Chris P. Kokinakos (PHYSICIAN) |
| Authorized Official Contact | 5616388320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Internal Medicine, P.a. 5210 Linton Blvd Ste 202 Delray Beach FL 33484-6537 Ph: (561) 638-8320 | Renaissance Internal Medicine, P.a. 5210 Linton Blvd Ste 202 Delray Beach FL 33484 Ph: (561) 638-8484 |
| NPI Number | 1215121819 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 05/30/2018 |
| Medicare PECOS PAC ID | 4385837731 |
|---|---|
| Medicare Enrollment ID | O20101019000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS6545 (Florida) | Primary |
| Provider Name | Christos Peter Kokinakos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912987157 PECOS PAC ID: 4688869621 Enrollment ID: I20101116000561 |
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