| Wellingtonmd | |
|
12989 Southern Blvd Ste 103 Loxahatchee FL 33470 | |
| (561) 268-2880 | |
| (561) 268-2881 |
| Full Name | Wellingtonmd |
|---|---|
| Speciality | Family Medicine |
| Location | 12989 Southern Blvd Ste 103, Loxahatchee, Florida |
| Authorized Official Name and Position | Brian Lipari (PRESIDENT) |
| Authorized Official Contact | 6319872445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellingtonmd 12989 Southern Blvd Ste 103 Loxahatchee FL 33470-9205 Ph: (561) 268-2880 | Wellingtonmd 12989 Southern Blvd Ste 103 Loxahatchee FL 33470 Ph: (561) 268-2880 |
| NPI Number | 1013457340 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/21/2020 |
| Medicare PECOS PAC ID | 0143594804 |
|---|---|
| Medicare Enrollment ID | O20170919000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013457340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian A Lipari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720379365 PECOS PAC ID: 5092935528 Enrollment ID: I20141006001761 |
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