Vip Primary Care Associates Pa | |
210 Jupiter Lakes Blvd Ste 3205 Jupiter FL 33458-7189 | |
(561) 746-9404 | |
(561) 746-6198 |
Full Name | Vip Primary Care Associates Pa |
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Speciality | Internal Medicine |
Location | 210 Jupiter Lakes Blvd Ste 3205, Jupiter, Florida |
Authorized Official Name and Position | Pamela L Caraballo (BOOKKEEPER) |
Authorized Official Contact | 5617469404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vip Primary Care Associates Pa 210 Jupiter Lakes Blvd Ste 3205 Jupiter FL 33458-7189 Ph: (561) 746-9404 | Vip Primary Care Associates Pa 210 Jupiter Lakes Blvd Ste 3205 Jupiter FL 33458-7189 Ph: (561) 746-9404 |
NPI Number | 1366652711 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9133026669 |
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Medicare Enrollment ID | O20031215000207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366652711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME40299 (Florida) | Primary |
Provider Name | Robert A Briskin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326004680 PECOS PAC ID: 0244137701 Enrollment ID: I20031216000145 |
Provider Name | Terese A Barr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033115399 PECOS PAC ID: 5395730048 Enrollment ID: I20160308001941 |
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