MEDICARE: ASSURE HEALTH MEDICAL GROUP 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
1	208D00000X	General Practice Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1285252353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURE HEALTH MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	222 LAKEVIEW AVE STE 735
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6145
Country	:	US
Telephone Number	:	231-432-5841
Fax Number	:	561-941-9454

Provider Business Practice Location Address
First Line	:	4500 N STATE ROAD 7 STE 102
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5868
Country	:	US
Telephone Number	:	561-381-9258
Fax Number	:

Authorized Official
Title or Position	:	CHIEF STRATEGY OFFICER
Name	:	CHAD EVANS
Credential	:
Telephone Number	:	614-374-6288

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	01/26/2026

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