| Trillium Medical Center | |
|
7545 W Boynton Beach Blvd Suite 201 Boynton Beach FL 33437-6166 | |
| (561) 906-3238 | |
| (561) 582-5204 |
| Full Name | Trillium Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 7545 W Boynton Beach Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Kimberly Ann Sussman (PRESIDENT) |
| Authorized Official Contact | 5619063238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trillium Medical Center 7545 W Boynton Beach Blvd Suit 201 Boynton Beach FL 33437-6166 Ph: (561) 736-0881 | Trillium Medical Center 7545 W Boynton Beach Blvd Suite 201 Boynton Beach FL 33437-6166 Ph: (561) 906-3238 |
| NPI Number | 1730485343 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 5395917967 |
|---|---|
| Medicare Enrollment ID | O20111004000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730485343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS10321 (Florida) | Primary |
| Provider Name | Kimberly A Sussman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386977262 PECOS PAC ID: 6103098777 Enrollment ID: I20111004000843 |
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