| Amazing Health Care And Services, Inc | |
|
1511 Prosperity Farms Rd Ste 100 Lake Park FL 33403-2046 | |
| (561) 847-4794 | |
| (561) 847-4574 |
| Full Name | Amazing Health Care And Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1511 Prosperity Farms Rd Ste 100, Lake Park, Florida |
| Authorized Official Name and Position | Natacha Etienne (VICE PRESIDENT) |
| Authorized Official Contact | 5618474794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Health Care And Services, Inc 1511 Prosperity Farms Rd Ste 100 Lake Park FL 33403-2046 Ph: (561) 847-4794 | Amazing Health Care And Services, Inc 1511 Prosperity Farms Rd Ste 100 Lake Park FL 33403-2046 Ph: (561) 847-4794 |
| NPI Number | 1679172068 |
|---|---|
| Provider Enumeration Date | 10/18/2020 |
| Last Update Date | 10/18/2020 |
| Medicare PECOS PAC ID | 1951785385 |
|---|---|
| Medicare Enrollment ID | O20220901003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679172068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Natacha Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043843279 PECOS PAC ID: 3971912908 Enrollment ID: I20210602002387 |
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