| Nova Cat Incorporation | |
|
101 S Federal Hwy Lake Worth FL 33460-4228 | |
| (561) 582-4151 | |
| (561) 582-4393 |
| Full Name | Nova Cat Incorporation |
|---|---|
| Speciality | Family Medicine |
| Location | 101 S Federal Hwy, Lake Worth, Florida |
| Authorized Official Name and Position | Mary Scanlon (C.E.O.) |
| Authorized Official Contact | 5613028975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Cat Incorporation 5733 Nw 50th St Coral Springs FL 33067-4010 Ph: (954) 346-8347 | Nova Cat Incorporation 101 S Federal Hwy Lake Worth FL 33460-4228 Ph: (561) 582-4151 |
| NPI Number | 1730324047 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 05/04/2009 |
| Medicare PECOS PAC ID | 2264578947 |
|---|---|
| Medicare Enrollment ID | O20091009000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730324047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary N Scanlon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245240548 PECOS PAC ID: 7810921806 Enrollment ID: I20050920000305 |
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