Organization
GERIATRX CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE LESTER (BILLING MANAGER)
(772) 249-0528
Entity
Organization
Contact information
Practice address
3756 SW BIMINI CIR S, PALM CITY, FL 34990-1335
(772) 249-0528
(772) 237-7841
Mailing address
PO BOX 2569, PALM CITY, FL 34991-2569
(772) 249-0528
(772) 237-7841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048468700
—
FL
01
—
07303
BLUE CROSS
FL
Enumeration date
12/05/2005
Last updated
06/17/2011
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