| Advanced Internal Medicine LLC | |
|
601 University Blvd Suite 105 Jupiter FL 33458 | |
| (561) 625-9575 | |
| (561) 625-9533 |
| Full Name | Advanced Internal Medicine LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 University Blvd, Jupiter, Florida |
| Authorized Official Name and Position | Saluja Varghese (OWNER) |
| Authorized Official Contact | 5616259575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine LLC 601 University Boulevard Suite 105 Jupiter FL 33458 Ph: (561) 625-9575 | Advanced Internal Medicine LLC 601 University Blvd Suite 105 Jupiter FL 33458 Ph: (561) 625-9575 |
| NPI Number | 1356496137 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/20/2011 |
| Medicare PECOS PAC ID | 3476644311 |
|---|---|
| Medicare Enrollment ID | O20070808000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356496137 | NPI | - | NPPES |
| P00083413 | Other | FL | PALMETTO MC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86718 (Florida) | Primary |
| 202K00000X | Phlebology | ME85291 (Florida) | Secondary |
| Provider Name | Alexander Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689653453 PECOS PAC ID: 6800800798 Enrollment ID: I20060131000124 |
| Provider Name | Saluja R Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336128107 PECOS PAC ID: 2668563156 Enrollment ID: I20120119000086 |
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