| Northwell Health Medical, Inc | |
|
1411 N Flagler Dr Ste 7100 West Palm Beach FL 33401-3418 | |
| (561) 475-5700 | |
| (877) 550-1796 |
| Full Name | Northwell Health Medical, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 N Flagler Dr Ste 7100, West Palm Beach, Florida |
| Authorized Official Name and Position | Nicole Basile (ADMINISTRATOR) |
| Authorized Official Contact | 5614755700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwell Health Medical, Inc 1411 N Flagler Dr Ste 7100 West Palm Beach FL 33401-3418 Ph: (561) 475-5700 | Northwell Health Medical, Inc 1411 N Flagler Dr Ste 7100 West Palm Beach FL 33401-3418 Ph: (561) 475-5700 |
| NPI Number | 1205604113 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 1052831591 |
|---|---|
| Medicare Enrollment ID | O20250227000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205604113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria D Nieto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871729665 PECOS PAC ID: 8022309723 Enrollment ID: I20160628001830 |
| Provider Name | Michael Flatley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588637672 PECOS PAC ID: 7517020621 Enrollment ID: I20250303000035 |
| Provider Name | Roman T Pachulski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932105566 PECOS PAC ID: 7012989676 Enrollment ID: I20250304002859 |
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