Wellington Internal Medicine Group Pa | |
10131 W Forest Hill Blvd # A Wellington FL 33414-6156 | |
(561) 753-8366 | |
(561) 721-0077 |
Full Name | Wellington Internal Medicine Group Pa |
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Speciality | Internal Medicine |
Location | 10131 W Forest Hill Blvd # A, Wellington, Florida |
Authorized Official Name and Position | Armando Enrique Marull (PRESIDENT) |
Authorized Official Contact | 5617538366 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellington Internal Medicine Group Pa 10131 W Forest Hill Blvd # A Wellington FL 33414-6156 Ph: (561) 753-8366 | Wellington Internal Medicine Group Pa 10131 W Forest Hill Blvd # A Wellington FL 33414-6156 Ph: (561) 753-8366 |
NPI Number | 1154426591 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 09/16/2008 |
Medicare PECOS PAC ID | 3072595230 |
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Medicare Enrollment ID | O20040602001197 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154426591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Armando E Marull |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841258829 PECOS PAC ID: 5496737652 Enrollment ID: I20100720000154 |
Provider Name | Marie Barosy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760751408 PECOS PAC ID: 1658508445 Enrollment ID: I20131227000659 |
Provider Name | Lourdes Lacho |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518466200 PECOS PAC ID: 5698018257 Enrollment ID: I20190522001642 |
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