| Olympia Medical Center, Inc. | |
|
3933 Haverhill Rd N Suite 115 West Palm Beach FL 33417-7424 | |
| (561) 478-7659 | |
| (561) 478-7957 |
| Full Name | Olympia Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3933 Haverhill Rd N, West Palm Beach, Florida |
| Authorized Official Name and Position | Renes Castor (OWNER) |
| Authorized Official Contact | 5614787659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Medical Center, Inc. 3933 N Haverhill Rd Ste 115 West Palm Beach FL 33417-8338 Ph: (561) 478-7659 | Olympia Medical Center, Inc. 3933 Haverhill Rd N Suite 115 West Palm Beach FL 33417-7424 Ph: (561) 478-7659 |
| NPI Number | 1104800556 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 05/22/2019 |
| Medicare PECOS PAC ID | 7517135486 |
|---|---|
| Medicare Enrollment ID | O20110720000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104800556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Renes Castor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407830995 PECOS PAC ID: 2062680937 Enrollment ID: I20110720000090 |
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