| Gregory S. Weatherford, M.D., Inc | |
|
505 Se 6th Ave Boynton Beach FL 33435-4921 | |
| (561) 734-8400 | |
| (561) 732-8807 |
| Full Name | Gregory S. Weatherford, M.D., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 505 Se 6th Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Gregory S Weatherford (PRESIDENT-DIRECTOR) |
| Authorized Official Contact | 5617348400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S. Weatherford, M.D., Inc 505 Se 6th Ave Boynton Beach FL 33435-4921 Ph: (561) 734-8400 | Gregory S. Weatherford, M.D., Inc 505 Se 6th Ave Boynton Beach FL 33435-4921 Ph: (561) 734-8400 |
| NPI Number | 1770677981 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 3375735962 |
|---|---|
| Medicare Enrollment ID | O20101014001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770677981 | NPI | - | NPPES |
| 080136104 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Gregory S Weatherford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073667689 PECOS PAC ID: 9335331925 Enrollment ID: I20101014000910 |
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