| Revamed Healthcare Partners Llc | |
|
3084 S Jog Rd Greenacres FL 33467-2053 | |
| (561) 708-1760 | |
| Not Available |
| Full Name | Revamed Healthcare Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3084 S Jog Rd, Greenacres, Florida |
| Authorized Official Name and Position | Melissa Stieler (PRACTICE OPERATIONS SPECIALIST) |
| Authorized Official Contact | 5614322164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revamed Healthcare Partners Llc 8132 Okeechobee Blvd Ste B West Palm Beach FL 33411-2000 Ph: (561) 290-1181 | Revamed Healthcare Partners Llc 3084 S Jog Rd Greenacres FL 33467-2053 Ph: (561) 708-1760 |
| NPI Number | 1043780067 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 07/30/2021 |
| Medicare PECOS PAC ID | 5395078323 |
|---|---|
| Medicare Enrollment ID | O20190606001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043780067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jodi S Simkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518956887 PECOS PAC ID: 6406885193 Enrollment ID: I20050812000262 |
| Provider Name | Debra L Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568450864 PECOS PAC ID: 8022112457 Enrollment ID: I20070324000063 |
| Provider Name | Maria C Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447580824 PECOS PAC ID: 9133347313 Enrollment ID: I20140829001822 |
| Provider Name | Nathalie Bastien Montpeirous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598062630 PECOS PAC ID: 8123257185 Enrollment ID: I20141030002219 |
| Provider Name | Jay Gorstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255787537 PECOS PAC ID: 1355611179 Enrollment ID: I20190124003354 |
| Provider Name | Heather Loguidice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427010321 PECOS PAC ID: 7517397268 Enrollment ID: I20200420002165 |
| Provider Name | Elizabeth Y Ofori-attah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578802617 PECOS PAC ID: 3274768627 Enrollment ID: I20221028002767 |
| Provider Name | Zahava Zavurov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043848708 PECOS PAC ID: 1759724503 Enrollment ID: I20240208001413 |
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