Organization
CORPUS CHRISTI GERIMED SOLUTIONS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CLARKE M.D. (PRESIDENT)
(561) 721-6431
Entity
Organization
Contact information
Practice address
801 NORTHPOINT PKWY, SUITE 83, WEST PALM BEACH, FL 33407-1973
(561) 721-6431
(561) 721-6432
Mailing address
4170 MANOR FOREST BLVD, BOYNTON BEACH, FL 33436-8821
(561) 721-6431
(561) 721-6432
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME 80513
FL
Other
Enumeration date
09/19/2012
Last updated
02/26/2015
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