| Trudell Doctor Md And Associates, Llc | |
|
6080 Boynton Beach Blvd Ste 230 Boynton Beach FL 33437-3588 | |
| (561) 807-7780 | |
| (866) 950-0144 |
| Full Name | Trudell Doctor Md And Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6080 Boynton Beach Blvd Ste 230, Boynton Beach, Florida |
| Authorized Official Name and Position | Christa Harding (PRACTICE ADMIN) |
| Authorized Official Contact | 5612623094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trudell Doctor Md And Associates, Llc 6080 Boynton Beach Blvd Ste 230 Boynton Beach FL 33437-3588 Ph: (561) 807-7780 | Trudell Doctor Md And Associates, Llc 6080 Boynton Beach Blvd Ste 230 Boynton Beach FL 33437-3588 Ph: (561) 807-7780 |
| NPI Number | 1649919762 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 4284016130 |
|---|---|
| Medicare Enrollment ID | O20220809001987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649919762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Trudell A Doctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609001106 PECOS PAC ID: 9032265228 Enrollment ID: I20100713000680 |
| Provider Name | Robyn Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992143465 PECOS PAC ID: 8022318716 Enrollment ID: I20151202001364 |
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