| Medical Essentials Llc | |
|
1440 N Federal Hwy Ste 18 Delray Beach FL 33483-5922 | |
| (954) 297-9802 | |
| Not Available |
| Full Name | Medical Essentials Llc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 1440 N Federal Hwy Ste 18, Delray Beach, Florida |
| Authorized Official Name and Position | Leslie G Bravo (CEO) |
| Authorized Official Contact | 9542979802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Essentials Llc 306 W Mango St Lantana FL 33462-2835 Ph: (954) 297-9802 | Medical Essentials Llc 1440 N Federal Hwy Ste 18 Delray Beach FL 33483-5922 Ph: (954) 297-9802 |
| NPI Number | 1942880943 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 5698146306 |
|---|---|
| Medicare Enrollment ID | O20230117001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942880943 | NPI | - | NPPES |
| Provider Name | Ethan T Anglemyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770996068 PECOS PAC ID: 7416280128 Enrollment ID: I20230118000199 |
| Provider Name | Sayan Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922506476 PECOS PAC ID: 7810368487 Enrollment ID: I20230118000625 |
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