| South Palm Beach Health Group Pllc | |
|
880 Nw 13th St Suite 2b Boca Raton FL 33486-2342 | |
| (561) 392-1583 | |
| (561) 361-4075 |
| Full Name | South Palm Beach Health Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 880 Nw 13th St, Boca Raton, Florida |
| Authorized Official Name and Position | Richard Martinoff (PRESIDENT) |
| Authorized Official Contact | 5618669373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Palm Beach Health Group Pllc 880 Nw 13th St Suite 2b Boca Raton FL 33486-2342 Ph: (561) 392-1583 | South Palm Beach Health Group Pllc 880 Nw 13th St Suite 2b Boca Raton FL 33486-2342 Ph: (561) 392-1583 |
| NPI Number | 1447591276 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/19/2015 |
| Medicare PECOS PAC ID | 4587801733 |
|---|---|
| Medicare Enrollment ID | O20130508000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447591276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Martinoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700823143 PECOS PAC ID: 6507758844 Enrollment ID: I20050607000465 |
| Provider Name | Mary Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326640178 PECOS PAC ID: 5092128025 Enrollment ID: I20210111002875 |
| Provider Name | Alice Wead Brumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942941497 PECOS PAC ID: 7416334057 Enrollment ID: I20220519001789 |
| Provider Name | Erica Kitchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740047067 PECOS PAC ID: 7719326313 Enrollment ID: I20240416001107 |
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