| Delray Medical Group, Pa | |
|
13590 S Jog Rd Ste 4 Delray Beach FL 33446-3807 | |
| (561) 376-3140 | |
| Not Available |
| Full Name | Delray Medical Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13590 S Jog Rd Ste 4, Delray Beach, Florida |
| Authorized Official Name and Position | Jose L Conde (PRESIDENT) |
| Authorized Official Contact | 5613760554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delray Medical Group, Pa 9835 Lake Worth Rd Ste 16-384 Lake Worth FL 33467-2300 Ph: (561) 346-3140 | Delray Medical Group, Pa 13590 S Jog Rd Ste 4 Delray Beach FL 33446-3807 Ph: (561) 376-3140 |
| NPI Number | 1033932074 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 2860927217 |
|---|---|
| Medicare Enrollment ID | O20241122001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033932074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose L Conde |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558380808 PECOS PAC ID: 4587617147 Enrollment ID: I20060906000266 |
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