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NPI Code Detail

MEDICARE: PATRIOTS SERVICES LLC

MEDICARE: PATRIOTS SERVICES LLC
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
12083B0002XObesity Medicine (Preventive Medicine) Physician

General Provider Information

NPI Number : 1760257265
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRIOTS SERVICES LLC
Provider Business Mailing Address
First Line : 2540 METROCENTRE BLVD STE 1
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-3137
Country : US
Telephone Number : 978-828-1555
Fax Number :
Provider Business Practice Location Address
First Line : 2540 METROCENTRE BLVD STE 1
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-3137
Country : US
Telephone Number : 978-828-1555
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL RAY
Credential :
Telephone Number : 561-867-0001
Provider Enumeration Date : 11/15/2023
Last Update Date : 11/15/2023

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Directions to “PATRIOTS SERVICES LLC ” Practice Location

Language Start Address Practice Location
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