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NPI Code Detail

MEDICARE: ST. MARKS HEALTH CARE LLC

MEDICARE: ST. MARKS HEALTH CARE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1972121044
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. MARKS HEALTH CARE LLC
Provider Business Mailing Address
First Line : 4008 SHELLEY RD N
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-3185
Country : US
Telephone Number : 678-372-9567
Fax Number :
Provider Business Practice Location Address
First Line : 4008 SHELLEY RD N
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-3185
Country : US
Telephone Number : 678-372-9567
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER
Name : MR. JONATHAN BERWICK
Credential :
Telephone Number : 678-372-9567
Provider Enumeration Date : 07/06/2020
Last Update Date : 07/06/2020

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Directions to “ST. MARKS HEALTH CARE LLC ” Practice Location

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