| Longevity Accountable Care, PA | |
|
600 Business Park Way Royal Palm Beach FL 33411-1747 | |
| (561) 795-3583 | |
| Not Available |
| Full Name | Longevity Accountable Care, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Business Park Way, Royal Palm Beach, Florida |
| Authorized Official Name and Position | Diane Vincur (PRACTICE MANAGER) |
| Authorized Official Contact | 5618152427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Accountable Care, PA 11780 Us Highway 1 Ste N107 North Palm Beach FL 33408-3007 Ph: (561) 815-2427 | Longevity Accountable Care, PA 600 Business Park Way Royal Palm Beach FL 33411-1747 Ph: (561) 795-3583 |
| NPI Number | 1801644711 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 0840734034 |
|---|---|
| Medicare Enrollment ID | O20240709003960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801644711 | NPI | - | NPPES |
| Provider Name | Karen L Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194711317 PECOS PAC ID: 1951383173 Enrollment ID: I20040602000966 |
| Provider Name | Melissa Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952624900 PECOS PAC ID: 5294911590 Enrollment ID: I20110523000345 |
| Provider Name | Ashanti Hendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218221 PECOS PAC ID: 0345474631 Enrollment ID: I20130927000120 |
| Provider Name | Katina R Averette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278153 PECOS PAC ID: 0840591319 Enrollment ID: I20151229001489 |
| Provider Name | Angela Loualan Louque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710379706 PECOS PAC ID: 4284946369 Enrollment ID: I20160308002494 |
| Provider Name | Jil H Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154785921 PECOS PAC ID: 8820389596 Enrollment ID: I20160628000921 |
| Provider Name | Monica Spurlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831682145 PECOS PAC ID: 7214280791 Enrollment ID: I20181030003257 |
| Provider Name | Marcella a Caro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529094 PECOS PAC ID: 2961747514 Enrollment ID: I20181231000523 |
| Provider Name | Carlos E Orive |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922585975 PECOS PAC ID: 2668405838 Enrollment ID: I20190208001789 |
| Provider Name | Yolanda Marie Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147203 PECOS PAC ID: 8123371028 Enrollment ID: I20191107002762 |
| Provider Name | Yosvani Garcia Boss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174158034 PECOS PAC ID: 8628490604 Enrollment ID: I20200619001809 |
| Provider Name | Nwando Vivian Okaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482662 PECOS PAC ID: 1456778588 Enrollment ID: I20200903000387 |
| Provider Name | Elaine E Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325547 PECOS PAC ID: 3476774019 Enrollment ID: I20220121002337 |
| Provider Name | Seonghee Jeong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699354183 PECOS PAC ID: 9133512999 Enrollment ID: I20220131002185 |
| Provider Name | Tatyana Kateva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124498407 PECOS PAC ID: 5092015784 Enrollment ID: I20221102003551 |
| Provider Name | Monica Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578043972 PECOS PAC ID: 4880933506 Enrollment ID: I20230328000012 |
| Provider Name | Bethsaida Cesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068999 PECOS PAC ID: 6204289556 Enrollment ID: I20240202000511 |
| Provider Name | Valerie Shade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164088597 PECOS PAC ID: 4486987070 Enrollment ID: I20240730004064 |
| Provider Name | Claritza L Rios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841354164 PECOS PAC ID: 8123109592 Enrollment ID: I20250812003632 |
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