MEDICARE: MEDICAL IPA OF THE PALM BEACHES

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
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1083683411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL IPA OF THE PALM BEACHES

Provider Business Mailing Address
First Line	:	1117 ROYAL PALM BEACH BLVD
Second Line	:	SUITE 102
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1641
Country	:	US
Telephone Number	:	561-790-2876
Fax Number	:	561-790-3884

Provider Business Practice Location Address
First Line	:	1117 ROYAL PALM BEACH BLVD
Second Line	:	SUITE 102
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1641
Country	:	US
Telephone Number	:	561-790-2876
Fax Number	:	561-790-3884

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. ROBERT CAMERLINCK
Credential	:
Telephone Number	:	561-790-2876

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

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1710105291 — MS. SHAHEDA HAQ
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Practice Fax:

1730307901 — MR. SCOTT MANGINI
Practice Location Address:

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Practice Fax:

1326218090 — CORNERSTONE MEDICAL CENTER
Practice Location Address:

1117 ROYAL PALM BEACH BLVD
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1518280247 — KARLEEN CURTIS-CAMPBELL RPH
Practice Location Address:

1135 ROYAL PALM BEACH BLVD
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Practice Fax:

1447968342 — STEPHANIE J GOOSSENS ALAYON LCSW
Practice Location Address:

1127 ROYAL PALM BEACH BLVD # 128
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Practice Phone: 561-440-7678
Practice Fax: 561-440-7678

Directions to “MEDICAL IPA OF THE PALM BEACHES ” Practice Location

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