| Md Healthcare Boca Raton Llc | |
|
7050 W. Palmetto Park Road Suite 30 Boca Raton FL 33433 | |
| (954) 425-9154 | |
| (866) 981-1882 |
| Full Name | Md Healthcare Boca Raton Llc |
|---|---|
| Speciality | General Practice |
| Location | 7050 W. Palmetto Park Road, Boca Raton, Florida |
| Authorized Official Name and Position | Renato Segura (MEDICAL DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 7863014164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Healthcare Boca Raton Llc 304 Indian Trace Suite 636 Weston FL 33326 Ph: (786) 553-9745 | Md Healthcare Boca Raton Llc 7050 W. Palmetto Park Road Suite 30 Boca Raton FL 33433 Ph: (954) 425-9154 |
| NPI Number | 1144979949 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 2668842592 |
|---|---|
| Medicare Enrollment ID | O20230110001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144979949 | NPI | - | NPPES |
| 024422400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Renato Segura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356663306 PECOS PAC ID: 5991972390 Enrollment ID: I20120622000498 |
| Provider Name | Evelyn Bryon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548767577 PECOS PAC ID: 6103226303 Enrollment ID: I20210609002112 |
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