| Palm Garden Of Winter Haven-paps | |
|
21251 E Dixie Hwy Aventura FL 33180-1218 | |
| (305) 935-4827 | |
| Not Available |
| Full Name | Palm Garden Of Winter Haven-paps |
|---|---|
| Speciality | Internal Medicine |
| Location | 21251 E Dixie Hwy, Aventura, Florida |
| Authorized Official Name and Position | Lisha Falk (VP OF CONTRACTING) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Garden Of Winter Haven-paps 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Palm Garden Of Winter Haven-paps 21251 E Dixie Hwy Aventura FL 33180-1218 Ph: (305) 935-4827 |
| NPI Number | 1922617596 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 8123447380 |
|---|---|
| Medicare Enrollment ID | O20201007002769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922617596 | NPI | - | NPPES |
| 108162300 | Medicaid | FL |
| Provider Name | David S Schillinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417957218 PECOS PAC ID: 4486566650 Enrollment ID: I20040602000872 |
| Provider Name | Luc L. Bouquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831348333 PECOS PAC ID: 1850430539 Enrollment ID: I20091209000692 |
| Provider Name | Alda Marie Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962985259 PECOS PAC ID: 2567715063 Enrollment ID: I20181031000773 |
| Provider Name | Shoji Aji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205351244 PECOS PAC ID: 9234474537 Enrollment ID: I20181214000107 |
| Provider Name | Evangeline Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710544911 PECOS PAC ID: 3779990437 Enrollment ID: I20210324001671 |
| Provider Name | Smitha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801306527 PECOS PAC ID: 5193120962 Enrollment ID: I20210818000721 |
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