Trail Medical Center Pa | |
1266 N Military Trl West Palm Beach FL 33409-6015 | |
(561) 687-8685 | |
(561) 683-2279 |
Full Name | Trail Medical Center Pa |
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Speciality | Internal Medicine |
Location | 1266 N Military Trl, West Palm Beach, Florida |
Authorized Official Name and Position | Gerard Jean-baptiste (PHYSICIAN/OWNER) |
Authorized Official Contact | 5616878685 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trail Medical Center Pa 1266 N Military Trl West Palm Beach FL 33409-6015 Ph: (561) 687-8685 | Trail Medical Center Pa 1266 N Military Trl West Palm Beach FL 33409-6015 Ph: (561) 687-8685 |
NPI Number | 1346555802 |
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Provider Enumeration Date | 08/09/2010 |
Last Update Date | 08/09/2010 |
Medicare PECOS PAC ID | 2769661040 |
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Medicare Enrollment ID | O20110119001203 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346555802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME57660 (Florida) | Primary |
Provider Name | Gerard Jean-baptiste |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003864034 PECOS PAC ID: 5294914578 Enrollment ID: I20110302000842 |
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