| South County Endocrinology P A | |
|
670 Glades Rd Suite 310 Boca Raton FL 33431-6461 | |
| (561) 367-8202 | |
| (561) 367-8257 |
| Full Name | South County Endocrinology P A |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 670 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Mirtha Kelijman (PRESIDENT) |
| Authorized Official Contact | 5613678202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Endocrinology P A 670 Glades Rd Suite 310 Boca Raton FL 33431-6461 Ph: (561) 367-8202 | South County Endocrinology P A 670 Glades Rd Suite 310 Boca Raton FL 33431-6461 Ph: (561) 367-8202 |
| NPI Number | 1659337517 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659337517 | NPI | - | NPPES |
| 252927 | Other | FL | AVMED |
| 44842 | Other | FL | BLUE CROSS BLUE SHIELD OF FLA |
| P00064212 | Other | FL | RAILROAD MEDICARE |
| FP0935 | Other | FL | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME 67985 (Florida) | Primary |
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