| Rhmd Llc | |
|
417 5th Ave Apt 101 Indialantic FL 32903-4224 | |
| (321) 254-6803 | |
| (321) 254-6819 |
| Full Name | Rhmd Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 417 5th Ave Apt 101, Indialantic, Florida |
| Authorized Official Name and Position | Rebecca Price Hunton (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3212546803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhmd Llc 417 5th Ave Apt 101 Indialantic FL 32903-4224 Ph: (321) 254-6803 | Rhmd Llc 417 5th Ave Apt 101 Indialantic FL 32903-4224 Ph: (321) 254-6803 |
| NPI Number | 1689928590 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 2769865963 |
|---|---|
| Medicare Enrollment ID | O20220822001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689928590 | NPI | - | NPPES |
| Provider Name | Michelle M Pownall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615712 PECOS PAC ID: 5890962534 Enrollment ID: I20120119000791 |
| Provider Name | Jennifer S Mahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457628984 PECOS PAC ID: 6002076502 Enrollment ID: I20120320000804 |
| Provider Name | Katherine M Forholt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114292257 PECOS PAC ID: 5698910339 Enrollment ID: I20130328000280 |
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