| Umoren Medical Llc | |
|
6551 Constance St Lake Worth FL 33467-7661 | |
| (561) 429-3625 | |
| Not Available |
| Full Name | Umoren Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6551 Constance St, Lake Worth, Florida |
| Authorized Official Name and Position | Inemesit E Umoren (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 5614293625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umoren Medical Llc 6551 Constance St Lake Worth FL 33467-7661 Ph: (561) 429-3625 | Umoren Medical Llc 6551 Constance St Lake Worth FL 33467-7661 Ph: (561) 429-3625 |
| NPI Number | 1578956173 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Medicare PECOS PAC ID | 7618281650 |
|---|---|
| Medicare Enrollment ID | O20150804004286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578956173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME 103641 (Florida) | Primary |
| Provider Name | Inemesit Umoren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770639676 PECOS PAC ID: 0547308561 Enrollment ID: I20091112000259 |
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