| Ourtopclinic Llc | |
|
550 Se 6th Ave Ste 200-v Delray Beach FL 33483-5306 | |
| (888) 932-4771 | |
| (971) 351-6601 |
| Full Name | Ourtopclinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 Se 6th Ave Ste 200-v, Delray Beach, Florida |
| Authorized Official Name and Position | Naurah Theodora Gaspard (APRN) |
| Authorized Official Contact | 8889324771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ourtopclinic Llc 550 Se 6th Ave Ste 200-v Delray Beach FL 33483-5306 Ph: (888) 932-4771 | Ourtopclinic Llc 550 Se 6th Ave Ste 200-v Delray Beach FL 33483-5306 Ph: (888) 932-4771 |
| NPI Number | 1003696089 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 03/27/2025 |
| Medicare PECOS PAC ID | 2264961754 |
|---|---|
| Medicare Enrollment ID | O20250129000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003696089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Naurah Theodoara Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225813835 PECOS PAC ID: 9739532565 Enrollment ID: I20250129001045 |
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