| Ctmd Medical Center Pa | |
|
2328 S Congress Ave # Unite1-h Palm Springs FL 33406-7618 | |
| (561) 324-7224 | |
| (561) 225-1780 |
| Full Name | Ctmd Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2328 S Congress Ave # Unite1-h, Palm Springs, Florida |
| Authorized Official Name and Position | Luis Castillo (OWNER) |
| Authorized Official Contact | 5613247224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctmd Medical Center Pa 2328 S Congress Ave # Unite1-h Palm Springs FL 33406-7618 Ph: (561) 324-7224 | Ctmd Medical Center Pa 2328 S Congress Ave # Unite1-h Palm Springs FL 33406-7618 Ph: (561) 324-7224 |
| NPI Number | 1962066951 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Medicare PECOS PAC ID | 3072842400 |
|---|---|
| Medicare Enrollment ID | O20190911000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962066951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carmen Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245461193 PECOS PAC ID: 1850551482 Enrollment ID: I20120320000091 |
| Provider Name | Luis C Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821233966 PECOS PAC ID: 7113175183 Enrollment ID: I20120917000474 |
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