Scaps Medical, Llc | |
4601 N Congress Ave Ste 107 West Palm Beach FL 33407-3381 | |
(561) 429-2401 | |
(561) 429-2931 |
Full Name | Scaps Medical, Llc |
---|---|
Speciality | Internal Medicine |
Location | 4601 N Congress Ave Ste 107, West Palm Beach, Florida |
Authorized Official Name and Position | Pierre Deltor (MGR) |
Authorized Official Contact | 5613524003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Scaps Medical, Llc 4601 N Congress Ave Ste 107 West Palm Beach FL 33407-3381 Ph: (561) 429-2401 | Scaps Medical, Llc 4601 N Congress Ave Ste 107 West Palm Beach FL 33407-3381 Ph: (561) 429-2401 |
NPI Number | 1730323007 |
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Provider Enumeration Date | 04/29/2009 |
Last Update Date | 09/17/2024 |
Medicare PECOS PAC ID | 5092861237 |
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Medicare Enrollment ID | O20090914000290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730323007 | NPI | - | NPPES |
78605 | Other | FL | BCBS |
266744400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME86340 (Florida) | Primary |
Provider Name | Pierre C Deltor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730138710 PECOS PAC ID: 6608851340 Enrollment ID: I20040618000709 |
Provider Name | Alexandra Vargas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235571076 PECOS PAC ID: 1355624891 Enrollment ID: I20170208001173 |
Provider Name | Jannell Chakakhan Russell-williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265944979 PECOS PAC ID: 4688918865 Enrollment ID: I20181128002042 |
Provider Name | Kemline Dorvil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699220426 PECOS PAC ID: 6305182262 Enrollment ID: I20190114002275 |
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