Primary Care Physicians Of Hollywood, Pl | |
2488 N University Dr Pembroke Pines FL 33024-3624 | |
(954) 983-9191 | |
(954) 983-1152 |
Full Name | Primary Care Physicians Of Hollywood, Pl |
---|---|
Speciality | Internal Medicine |
Location | 2488 N University Dr, Pembroke Pines, Florida |
Authorized Official Name and Position | Laura Burke (CREDENTIALING MANGER) |
Authorized Official Contact | 9545634472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primary Care Physicians Of Hollywood, Pl 2488 N University Dr Pembroke Pines FL 33024-3624 Ph: (954) 983-9191 | Primary Care Physicians Of Hollywood, Pl 2488 N University Dr Pembroke Pines FL 33024-3624 Ph: (954) 983-9191 |
NPI Number | 1053362665 |
---|---|
Provider Enumeration Date | 05/16/2006 |
Last Update Date | 09/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053362665 | NPI | - | NPPES |
39480 | Other | FL | BCBS |
269366600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME 74548 (Florida) | Secondary |
207R00000X | Internal Medicine | ME 81676 (Florida) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
News Archive
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