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NPI Code Detail

MEDICARE: IMPACT SPECIALTY SOLUTIONS FL PA

MEDICARE: IMPACT SPECIALTY SOLUTIONS FL PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1447100524
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMPACT SPECIALTY SOLUTIONS FL PA
Provider Business Mailing Address
First Line : 250 SKILLMAN ST STE 202
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 390 NE 135TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-3967
Country : US
Telephone Number : 212-734-6621
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : ELI WERCBERGER
Credential : DO
Telephone Number : 917-627-2130
Provider Enumeration Date : 01/29/2026
Last Update Date : 03/24/2026

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Directions to “IMPACT SPECIALTY SOLUTIONS FL PA ” Practice Location

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