Tu Salud Optimal Care Llc | |
6266 S Congress Ave # 11 Lake Worth FL 33462-2375 | |
(786) 277-1621 | |
Not Available |
Full Name | Tu Salud Optimal Care Llc |
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Speciality | General Practice |
Location | 6266 S Congress Ave # 11, Lake Worth, Florida |
Authorized Official Name and Position | Farah Baudin (OFFICE CONSULTANT) |
Authorized Official Contact | 7862771621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tu Salud Optimal Care Llc 6266 S Congress Ave # 11 Lake Worth FL 33462-2375 Ph: (786) 277-1621 | Tu Salud Optimal Care Llc 6266 S Congress Ave # 11 Lake Worth FL 33462-2375 Ph: (786) 277-1621 |
NPI Number | 1326814245 |
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Provider Enumeration Date | 12/01/2023 |
Last Update Date | 03/08/2024 |
Medicare PECOS PAC ID | 8729428198 |
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Medicare Enrollment ID | O20240502000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326814245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Ronel Desrosiers |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437551884 PECOS PAC ID: 0042537300 Enrollment ID: I20191118003187 |
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