| Renamed Llc | |
|
210 Jupiter Lakes Blvd Ste 3201 Jupiter FL 33458-7189 | |
| (561) 948-3331 | |
| (561) 208-5810 |
| Full Name | Renamed Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Jupiter Lakes Blvd Ste 3201, Jupiter, Florida |
| Authorized Official Name and Position | Ammar Almakkee (PHYSICIAN) |
| Authorized Official Contact | 5616760566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renamed Llc Po Box 31966 Palm Beach Gardens FL 33420-1966 Ph: (561) 676-0566 | Renamed Llc 210 Jupiter Lakes Blvd Ste 3201 Jupiter FL 33458-7189 Ph: (561) 948-3331 |
| NPI Number | 1598148678 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 0042520702 |
|---|---|
| Medicare Enrollment ID | O20151109001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598148678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 88718 (Florida) | Primary |
| Provider Name | Ammar Almakkee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063474195 PECOS PAC ID: 0840235248 Enrollment ID: I20071026000228 |
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