| Caremedica Florida Llc | |
|
3401 Pga Blvd Ste 310 Palm Beach Gardens FL 33410-2824 | |
| (561) 776-8890 | |
| (561) 776-2159 |
| Full Name | Caremedica Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3401 Pga Blvd Ste 310, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Fausto Petruzziello (MANAGING MEMBER) |
| Authorized Official Contact | 5617768890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremedica Florida Llc 3401 Pga Blvd Ste 310 Palm Beach Gardens FL 33410-2824 Ph: (561) 776-8890 | Caremedica Florida Llc 3401 Pga Blvd Ste 310 Palm Beach Gardens FL 33410-2824 Ph: (561) 776-8890 |
| NPI Number | 1063149193 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Medicare PECOS PAC ID | 2365826849 |
|---|---|
| Medicare Enrollment ID | O20220901000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063149193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marilyn L Juricic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497758338 PECOS PAC ID: 6204882590 Enrollment ID: I20050330000272 |
| Provider Name | Leon Camilo Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023120664 PECOS PAC ID: 0547262412 Enrollment ID: I20081114000545 |
| Provider Name | Kenneth A Rappaport |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447210372 PECOS PAC ID: 4385696327 Enrollment ID: I20100809001110 |
| Provider Name | Catherine M Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467601393 PECOS PAC ID: 4385895069 Enrollment ID: I20121105000607 |
| Provider Name | Melissa A Dail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679822449 PECOS PAC ID: 2163677659 Enrollment ID: I20130307000407 |
| Provider Name | Marnie Nickels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528566437 PECOS PAC ID: 9234487091 Enrollment ID: I20180810000396 |
| Provider Name | Fausto Petruzziello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316933419 PECOS PAC ID: 0345139630 Enrollment ID: I20220907003547 |
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