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NPI Code Detail

MEDICARE: GERIATRX HEALTH LLC

MEDICARE: GERIATRX HEALTH 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
1207Q00000XFamily Medicine Physician

Other Identifiers

General Provider Information

NPI Number : 1881150142
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIATRX HEALTH LLC
Provider Business Mailing Address
First Line : PO BOX 8689
Second Line :
City : JUPITER
State : FL
Zip : 33468-8689
Country : US
Telephone Number : 561-748-2889
Fax Number :
Provider Business Practice Location Address
First Line : 5753 SW LONGSPUR LN
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8839
Country : US
Telephone Number : 772-260-6922
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KAREN BARLOW
Credential :
Telephone Number : 561-748-2889
Provider Enumeration Date : 02/12/2019
Last Update Date : 02/12/2019

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Directions to “GERIATRX HEALTH LLC ” Practice Location

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