| Palm Beach Gardens Medical, Llc | |
|
8841 Lyndall Ln Ste B Palm Beach Gardens FL 33403-1639 | |
| (863) 532-3151 | |
| Not Available |
| Full Name | Palm Beach Gardens Medical, Llc |
|---|---|
| Speciality | General Practice |
| Location | 8841 Lyndall Ln Ste B, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Anthony Camaerei (DIR) |
| Authorized Official Contact | 5702421768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Gardens Medical, Llc 327 W Lantana Rd Lantana FL 33462-1773 Ph: () - | Palm Beach Gardens Medical, Llc 8841 Lyndall Ln Ste B Palm Beach Gardens FL 33403-1639 Ph: (863) 532-3151 |
| NPI Number | 1891316352 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 07/13/2022 |
| Medicare PECOS PAC ID | 6305226267 |
|---|---|
| Medicare Enrollment ID | O20220708003173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891316352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rachael H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872401 PECOS PAC ID: 8224369814 Enrollment ID: I20191014000174 |
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