Evergreen Wellness Clinic | |
4418 N University Dr., Lauderhill, FL 33351-2345 | |
(954) 937-6606 | |
Not Available |
Full Name | Evergreen Wellness Clinic |
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Type | Facility |
Speciality | Acupuncturist |
Location | 4418 N University Dr., Lauderhill, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366814741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AP3461 (Florida) | Primary |
Provider Name | Tony Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861854671 PECOS PAC ID: 7618242397 Enrollment ID: I20171005001419 |
Mailing Address | Practice Location Address |
---|---|
Evergreen Wellness Clinic 4418 N University Dr., Lauderhill, FL 33351-2345 Ph: (954) 937-6606 | Evergreen Wellness Clinic 4418 N University Dr., Lauderhill, FL 33351-2345 Ph: (954) 937-6606 |
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