| Sia - Specialty Infusion Llc | |
|
2200 Glades Rd Ste 304 Boca Raton FL 33431-7348 | |
| (561) 955-7079 | |
| Not Available |
| Full Name | Sia - Specialty Infusion Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Glades Rd Ste 304, Boca Raton, Florida |
| Authorized Official Name and Position | Kevin Seltzer (CEO) |
| Authorized Official Contact | 5619557079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sia - Specialty Infusion Llc 2200 Glades Rd Ste 304 Boca Raton FL 33431-7348 Ph: (561) 955-7079 | Sia - Specialty Infusion Llc 2200 Glades Rd Ste 304 Boca Raton FL 33431-7348 Ph: (561) 955-7079 |
| NPI Number | 1821699034 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Medicare PECOS PAC ID | 3577971803 |
|---|---|
| Medicare Enrollment ID | O20210426001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821699034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Vito C. Proscia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972575876 PECOS PAC ID: 7113965179 Enrollment ID: I20070219000708 |
| Provider Name | Dov A Pickholtz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408493 PECOS PAC ID: 0648400416 Enrollment ID: I20141114001012 |
| Provider Name | Karen Giselle Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518565894 PECOS PAC ID: 6709285034 Enrollment ID: I20210519000153 |
| Provider Name | Jamie Pare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558035709 PECOS PAC ID: 6204232747 Enrollment ID: I20210908001840 |
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