| Bdunlap Llc | |
|
3581 S Ocean Blvd Palm Beach FL 33480-6402 | |
| (561) 707-6869 | |
| Not Available |
| Full Name | Bdunlap Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3581 S Ocean Blvd, Palm Beach, Florida |
| Authorized Official Name and Position | Betty Banuelos Dunlap (OWNER) |
| Authorized Official Contact | 5617076869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bdunlap Llc 201 W Ocean Ave Unit 3753 Lantana FL 33465-5031 Ph: (561) 707-6869 | Bdunlap Llc 3581 S Ocean Blvd Palm Beach FL 33480-6402 Ph: (561) 707-6869 |
| NPI Number | 1033985908 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 12/07/2023 |
| Medicare PECOS PAC ID | 0345780391 |
|---|---|
| Medicare Enrollment ID | O20240905002586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033985908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Betty Banuelos Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834774 PECOS PAC ID: 3577885862 Enrollment ID: I20141121001628 |
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