| Conscious Wellness MD | |
|
141 Nw 20th St Ste G2 Boca Raton FL 33431-7965 | |
| (646) 301-4299 | |
| Not Available |
| Full Name | Conscious Wellness MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 141 Nw 20th St Ste G2, Boca Raton, Florida |
| Authorized Official Name and Position | Gulnara Taldibaeva-pugliese (OWNER) |
| Authorized Official Contact | 6463014299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Wellness MD 141 Nw 20th St Ste G2 Boca Raton FL 33431-7965 Ph: (646) 301-4299 | Conscious Wellness MD 141 Nw 20th St Ste G2 Boca Raton FL 33431-7965 Ph: (646) 301-4299 |
| NPI Number | 1154128320 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Medicare PECOS PAC ID | 9032632757 |
|---|---|
| Medicare Enrollment ID | O20250402002980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154128320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Gulnara Taldibaeva-pugliese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689152902 PECOS PAC ID: 2769872811 Enrollment ID: I20211202002944 |
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