| Pdj Medical Group | |
|
1824 N University Dr Pembroke Pines FL 33024-3604 | |
| (954) 432-8831 | |
| (954) 432-8832 |
| Full Name | Pdj Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1824 N University Dr, Pembroke Pines, Florida |
| Authorized Official Name and Position | Augustine Adiboshi (OWNER) |
| Authorized Official Contact | 9544328831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdj Medical Group 1824 N University Dr Pembroke Pines FL 33024-3604 Ph: (954) 432-8831 | Pdj Medical Group 1824 N University Dr Pembroke Pines FL 33024-3604 Ph: (954) 432-8831 |
| NPI Number | 1063818292 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063818292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME113097 (Florida) | Primary |
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