| Triple O Medical Services Pa | |
|
2580 Metrocentre Blvd Ste 3 West Palm Beach FL 33407-3100 | |
| (561) 832-6770 | |
| (561) 832-3292 |
| Full Name | Triple O Medical Services Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2580 Metrocentre Blvd Ste 3, West Palm Beach, Florida |
| Authorized Official Name and Position | Olayemi Olajide Osiyemi (CEO) |
| Authorized Official Contact | 5618326770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triple O Medical Services Pa 2580 Metrocentre Blvd Ste 3 West Palm Beach FL 33407-3100 Ph: (561) 832-6770 | Triple O Medical Services Pa 2580 Metrocentre Blvd Ste 3 West Palm Beach FL 33407-3100 Ph: (561) 832-6770 |
| NPI Number | 1821108259 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 8820013014 |
|---|---|
| Medicare Enrollment ID | O20051006000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821108259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Olayemi Osiyemi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063522332 PECOS PAC ID: 6901821107 Enrollment ID: I20101220000330 |
| Provider Name | Jose Antonio Menajovsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720231459 PECOS PAC ID: 7012185994 Enrollment ID: I20110720000160 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821643891 PECOS PAC ID: 9032583158 Enrollment ID: I20230313001309 |
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