| Palm Beach Medical Clinic Llc | |
|
9123 N Military Trl Suite 102 West Palm Beach FL 33410-5990 | |
| (561) 630-9339 | |
| Not Available |
| Full Name | Palm Beach Medical Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9123 N Military Trl, West Palm Beach, Florida |
| Authorized Official Name and Position | Stephen Kwashie Woyome (CHIEF EXECUTIVE OFFICER OWNER) |
| Authorized Official Contact | 5615844142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Medical Clinic Llc 13833 Wellington Trce E4-#204 Wellington FL 33414-2116 Ph: (561) 584-4142 | Palm Beach Medical Clinic Llc 9123 N Military Trl Suite 102 West Palm Beach FL 33410-5990 Ph: (561) 630-9339 |
| NPI Number | 1710183744 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 05/15/2008 |
| Medicare PECOS PAC ID | 1850472762 |
|---|---|
| Medicare Enrollment ID | O20080117000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710183744 | NPI | - | NPPES |
| AH265 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME9587 (Florida) | Primary |
| Provider Name | Stephen K Woyome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750484077 PECOS PAC ID: 5395745996 Enrollment ID: I20070104000426 |
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