| Visiting Pro Medical Services Llc | |
|
1015 Miramar Dr Delray Beach FL 33483-6927 | |
| (561) 926-0083 | |
| Not Available |
| Full Name | Visiting Pro Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 Miramar Dr, Delray Beach, Florida |
| Authorized Official Name and Position | Mario Masserano (OWNER) |
| Authorized Official Contact | 5619260083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Pro Medical Services Llc 1015 Miramar Dr Delray Beach FL 33483-6927 Ph: (561) 926-0083 | Visiting Pro Medical Services Llc 1015 Miramar Dr Delray Beach FL 33483-6927 Ph: (561) 926-0083 |
| NPI Number | 1912372624 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/07/2015 |
| Medicare PECOS PAC ID | 5890088512 |
|---|---|
| Medicare Enrollment ID | O20160718002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912372624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME83434 (Florida) | Primary |
| Provider Name | Mario Louis Masserano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154416972 PECOS PAC ID: 5092701532 Enrollment ID: I20040422001342 |
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