| Picare Csp | |
|
245 Ne 5th St Boca Raton FL 33432-4048 | |
| (415) 903-2000 | |
| Not Available |
| Full Name | Picare Csp |
|---|---|
| Speciality | Internal Medicine |
| Location | 245 Ne 5th St, Boca Raton, Florida |
| Authorized Official Name and Position | Avery J Knapp (PRESIDENT) |
| Authorized Official Contact | 4159032000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picare Csp 382 Ne 191st St Pmb 14773 Miami FL 33179-3899 | Picare Csp 245 Ne 5th St Boca Raton FL 33432-4048 Ph: (415) 903-2000 |
| NPI Number | 1740042936 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740042936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 363AM0700X | Physician Assistant - Medical | () | Secondary |
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