| South Palm Medical Associates | |
|
10151 Enterprise Ctr Suite 101 Boynton Beach FL 33437-3759 | |
| (561) 734-4352 | |
| (561) 735-6501 |
| Full Name | South Palm Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 10151 Enterprise Ctr, Boynton Beach, Florida |
| Authorized Official Name and Position | David Ijac (OWNER) |
| Authorized Official Contact | 5617322136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Palm Medical Associates 10151 Enterprise Center Blvd, Suite 101 Boynton Beach FL 33437-3724 Ph: (561) 732-2136 | South Palm Medical Associates 10151 Enterprise Ctr Suite 101 Boynton Beach FL 33437-3759 Ph: (561) 734-4352 |
| NPI Number | 1114968914 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 7315922713 |
|---|---|
| Medicare Enrollment ID | O20040621000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114968914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adrian D Golgotiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831255504 PECOS PAC ID: 5991768954 Enrollment ID: I20041110000589 |
| Provider Name | Deborah A Hollimon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275695769 PECOS PAC ID: 9537184593 Enrollment ID: I20051008000067 |
| Provider Name | David Ijac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649255951 PECOS PAC ID: 3274518063 Enrollment ID: I20100929000272 |
| Provider Name | Suzanne Korum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093149569 PECOS PAC ID: 6204065071 Enrollment ID: I20140128000958 |
| Provider Name | Jessica Farrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659675528 PECOS PAC ID: 2567794530 Enrollment ID: I20191023002914 |
| Provider Name | Yarianna R Boccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053966366 PECOS PAC ID: 8022440411 Enrollment ID: I20191125001015 |
| Provider Name | Danielle Tighe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316332141 PECOS PAC ID: 7618268202 Enrollment ID: I20211122000726 |
| Provider Name | Mary Angela Garrity-ayrosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841765625 PECOS PAC ID: 4789075458 Enrollment ID: I20220107000153 |
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