| Tumminia Internal Medicine Pa | |
|
10301 Hagen Ranch Rd Ste B6 Boynton Beach FL 33437-3723 | |
| (561) 498-8031 | |
| Not Available |
| Full Name | Tumminia Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10301 Hagen Ranch Rd Ste B6, Boynton Beach, Florida |
| Authorized Official Name and Position | Louis G Tumminia (PRES) |
| Authorized Official Contact | 5614988891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tumminia Internal Medicine Pa 10301 Hagen Ranch Rd Ste B6 Boynton Beach FL 33437-3723 Ph: (561) 498-8031 | Tumminia Internal Medicine Pa 10301 Hagen Ranch Rd Ste B6 Boynton Beach FL 33437-3723 Ph: (561) 498-8031 |
| NPI Number | 1740478692 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 09/09/2024 |
| Medicare PECOS PAC ID | 0446236368 |
|---|---|
| Medicare Enrollment ID | O20040629001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740478692 | NPI | - | NPPES |
| K5767 | Other | FL | MEDICARE GROUP PIN |
| 144403 | Other | FL | VYTRA |
| 46792 | Other | FL | BLUE CROSS BLUE SHIELD OF FLA |
| 110247480 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS7926 (Florida) | Primary |
| Provider Name | Louis G Tumminia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902916117 PECOS PAC ID: 3870490758 Enrollment ID: I20031218000041 |
| Provider Name | Sandy Dorival |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689309510 PECOS PAC ID: 1254709769 Enrollment ID: I20221114003061 |
| Provider Name | Suzanne Venuti-cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134839681 PECOS PAC ID: 8729452263 Enrollment ID: I20230323000618 |
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