| The Modern Med Llc | |
|
13840 Emerson St Apt 306 Palm Beach Gardens FL 33418-6186 | |
| (414) 617-8877 | |
| Not Available |
| Full Name | The Modern Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13840 Emerson St Apt 306, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Andrew Berry (OWNER) |
| Authorized Official Contact | 4146178877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Modern Med Llc 13840 Emerson St. Apt 306 Palm Beach Gardens FL 33418 Ph: (414) 617-8877 | The Modern Med Llc 13840 Emerson St Apt 306 Palm Beach Gardens FL 33418-6186 Ph: (414) 617-8877 |
| NPI Number | 1285333575 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 8022483403 |
|---|---|
| Medicare Enrollment ID | O20230418000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285333575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Andrew Berry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487049193 PECOS PAC ID: 9537464565 Enrollment ID: I20190325001695 |
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