| Harvest SS Health | |
|
2623 S Seacrest Blvd Ste 104 Boynton Beach FL 33435-7535 | |
| (347) 264-9016 | |
| Not Available |
| Full Name | Harvest SS Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 2623 S Seacrest Blvd Ste 104, Boynton Beach, Florida |
| Authorized Official Name and Position | Johnny Michel (OWNER) |
| Authorized Official Contact | 3472649016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest SS Health 135 Weston Rd Weston FL 33326-1111 Ph: (347) 264-9016 | Harvest SS Health 2623 S Seacrest Blvd Ste 104 Boynton Beach FL 33435-7535 Ph: (347) 264-9016 |
| NPI Number | 1699450825 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 6709236417 |
|---|---|
| Medicare Enrollment ID | O20231221000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699450825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Johnny Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699268649 PECOS PAC ID: 2668716770 Enrollment ID: I20210520000272 |
| Provider Name | Jean Rene Lorial |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427749639 PECOS PAC ID: 9335686203 Enrollment ID: I20250605002071 |
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