| Florida Nerve Med Llc | |
|
8198 S Jog Rd #100 Boynton Beach FL 33472-2900 | |
| (561) 602-6191 | |
| (561) 429-3630 |
| Full Name | Florida Nerve Med Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8198 S Jog Rd, Boynton Beach, Florida |
| Authorized Official Name and Position | Hildegarde Geisse (OWNER) |
| Authorized Official Contact | 5613107759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Nerve Med Llc 741 Duchess Ct Palm Beach Gardens FL 33410-1553 Ph: (561) 602-6191 | Florida Nerve Med Llc 8198 S Jog Rd #100 Boynton Beach FL 33472-2900 Ph: (561) 602-6191 |
| NPI Number | 1417294158 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 03/16/2015 |
| Medicare PECOS PAC ID | 1456590785 |
|---|---|
| Medicare Enrollment ID | O20130618000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417294158 | NPI | - | NPPES |
| ME96190 | Other | FL | MEDICAL LICENSE |
| Provider Name | Hildegarde Geisse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154469120 PECOS PAC ID: 8921101445 Enrollment ID: I20090210000304 |
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