Dr Maksim Shmargun, MD | |
5075 Innovation Way, Jupiter, FL 33458-6101 | |
(561) 935-3002 | |
Not Available |
Full Name | Dr Maksim Shmargun |
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Gender | Male |
Speciality | General Practice |
Location | 5075 Innovation Way, Jupiter, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235690652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | ME163889 (Florida) | Primary |
Entity Name | Pam Physician Enterprise |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962856161 PECOS PAC ID: 1254628589 Enrollment ID: O20220709000282 |
Mailing Address | Practice Location Address |
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Dr Maksim Shmargun, MD 5075 Innovation Way, Jupiter, FL 33458-6101 Ph: (347) 728-4067 | Dr Maksim Shmargun, MD 5075 Innovation Way, Jupiter, FL 33458-6101 Ph: (561) 935-3002 |
Iutzi Tahiana Orostegui, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3889 Military Trl Ste 102, Jupiter, FL 33458 Phone: 561-485-1442 Fax: 561-774-8574 | |
Ivonne Susana Gamboa, MD General Practice Medicare: Medicare Enrolled Practice Location: 1094 Military Trl, Jupiter, FL 33458 Phone: 561-622-6111 Fax: 855-215-9930 | |
Mrs. Shannon Lorraine Milam, ARNP-BC General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 University Blvd Ste 204, Jupiter, FL 33458 Phone: 561-564-0665 |