| South Broward Medical Management, Inc. | |
|
17890 Nw 2nd St Pembroke Pines FL 33029-2806 | |
| (954) 442-6090 | |
| Not Available |
| Full Name | South Broward Medical Management, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17890 Nw 2nd St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Dayami Martin Lugo (PRESIDENT) |
| Authorized Official Contact | 9544426090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Broward Medical Management, Inc. 7400 Peppertree Cir N Davie FL 33314-6914 Ph: (954) 442-6090 | South Broward Medical Management, Inc. 17890 Nw 2nd St Pembroke Pines FL 33029-2806 Ph: (954) 442-6090 |
| NPI Number | 1023472024 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023472024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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