| Family Wellness Medical Pa | |
|
2900 N Military Trl Ste 107 Boca Raton FL 33431-6347 | |
| (718) 954-2202 | |
| Not Available |
| Full Name | Family Wellness Medical Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 N Military Trl Ste 107, Boca Raton, Florida |
| Authorized Official Name and Position | Zoya Koroleva (OWNER) |
| Authorized Official Contact | 6465299944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Medical Pa 2900 N Military Trl Ste 107 Boca Raton FL 33431-6347 Ph: () - | Family Wellness Medical Pa 2900 N Military Trl Ste 107 Boca Raton FL 33431-6347 Ph: (718) 954-2202 |
| NPI Number | 1437749520 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 7012325301 |
|---|---|
| Medicare Enrollment ID | O20210427001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437749520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Zoya Koroleva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588823025 PECOS PAC ID: 9931245503 Enrollment ID: I20210427001957 |
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