William S. Nutovits Md Pa | |
5035 Via Delray Ste 2 Delray Beach FL 33484-1315 | |
(561) 330-0111 | |
(561) 330-7635 |
Full Name | William S. Nutovits Md Pa |
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Speciality | Clinic/Center |
Location | 5035 Via Delray Ste 2, Delray Beach, Florida |
Authorized Official Name and Position | William S Nutovits (OWNER) |
Authorized Official Contact | 5613300111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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William S. Nutovits Md Pa 5035 Via Delray Ste 2 Delray Beach FL 33484-1315 Ph: (561) 330-0111 | William S. Nutovits Md Pa 5035 Via Delray Ste 2 Delray Beach FL 33484-1315 Ph: (561) 330-0111 |
NPI Number | 1578832945 |
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Provider Enumeration Date | 12/14/2011 |
Last Update Date | 06/04/2021 |
Medicare PECOS PAC ID | 5698941912 |
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Medicare Enrollment ID | O20120106000730 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578832945 | NPI | - | NPPES |
378813000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME69099 (Florida) | Primary |
Provider Name | William S Nutovits |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770693442 PECOS PAC ID: 4981668563 Enrollment ID: I20041113000144 |
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