| Palm Beach Infectious Diseases | |
|
6238 W Atlantic Ave Suite 2 Delray Beach FL 33484-3501 | |
| (561) 404-9845 | |
| (561) 404-9849 |
| Full Name | Palm Beach Infectious Diseases |
|---|---|
| Speciality | Internal Medicine |
| Location | 6238 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Indira Maribel Marmolejos (PRESIDENT) |
| Authorized Official Contact | 5614049845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Infectious Diseases 6238 W Atlantic Ave Suite 2 Delray Beach FL 33484-3501 Ph: (561) 404-9845 | Palm Beach Infectious Diseases 6238 W Atlantic Ave Suite 2 Delray Beach FL 33484-3501 Ph: (561) 404-9845 |
| NPI Number | 1174829121 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 4789852567 |
|---|---|
| Medicare Enrollment ID | O20110721000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174829121 | NPI | - | NPPES |
| 001469700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME99093 (Florida) | Primary |
| Provider Name | Indria M Marmolejos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659535987 PECOS PAC ID: 2365596988 Enrollment ID: I20090817000717 |
| Provider Name | Mondy Guillaume Molly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306277603 PECOS PAC ID: 8729302674 Enrollment ID: I20150123001055 |
| Provider Name | Karina Auffant Caraballo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174871479 PECOS PAC ID: 7012296064 Enrollment ID: I20161114002461 |
| Provider Name | Sara Mia Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518385749 PECOS PAC ID: 6507143351 Enrollment ID: I20170503001146 |
| Provider Name | Jasmin T Jose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972867364 PECOS PAC ID: 8820391360 Enrollment ID: I20190128002572 |
Delray Physician Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2280 W Atlantic Ave, Delray Beach, FL 33445 Phone: 561-278-3134 Fax: 561-278-3922 |
Amicus Medical Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5130 Linton Blvd, Delray Beach, FL 33484 Phone: 561-725-5630 Fax: 561-496-0541 |
Cogent Healthcare of Pensacola LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 Linton Blvd, Delray Beach, FL 33484 Phone: 561-498-4440 |
Elena Yamaguchi MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13550 Jog Rd, Suite 202a, Delray Beach, FL 33446 Phone: 561-495-9289 Fax: 561-495-9293 |
Cohen Medical Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15300 Jog Rd, Suite 205, Delray Beach, FL 33446 Phone: 561-496-7200 Fax: 561-496-7289 |
Bhanmatie Singh DO PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5341 W Atlantic Ave Ste 300c, Delray Beach, FL 33484 Phone: 561-501-4992 Fax: 844-274-9201 |