| Gardens Id Group Llc | |
|
11211 Prosperity Farms Rd Suite B-105 Palm Beach Gardens FL 33410-3446 | |
| (561) 626-2914 | |
| Not Available |
| Full Name | Gardens Id Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11211 Prosperity Farms Rd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Andres Suarez (OWNER/ PRESIDENT) |
| Authorized Official Contact | 5616262914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardens Id Group Llc 11211 Prosperity Farms Rd Suite B-105 Palm Beach Gardens FL 33410-3446 Ph: (561) 626-2914 | Gardens Id Group Llc 11211 Prosperity Farms Rd Suite B-105 Palm Beach Gardens FL 33410-3446 Ph: (561) 626-2914 |
| NPI Number | 1013964683 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 9335143551 |
|---|---|
| Medicare Enrollment ID | O20060831000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013964683 | NPI | - | NPPES |
| 72439 | Other | FL | BCBS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME31932 (Florida) | Primary |
| Provider Name | Daniel E Peters |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891797551 PECOS PAC ID: 4688690183 Enrollment ID: I20051024000117 |
| Provider Name | Andres Enrique Suarez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053358200 PECOS PAC ID: 9931102191 Enrollment ID: I20060809000215 |
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