| |
2706 W Atlantic Blvd, Pompano Beach, FL 33069-2551 | |
(954) 957-7500 | |
(954) 957-7040 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 2706 W Atlantic Blvd, Pompano Beach, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043342512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH8425 (Florida) | Primary |
207Q00000X | Family Medicine | OS8239 (Florida) | Primary |
Mailing Address | Practice Location Address |
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2706 W Atlantic Blvd, Pompano Beach, FL 33069-2551 Ph: (954) 957-7500 | 2706 W Atlantic Blvd, Pompano Beach, FL 33069-2551 Ph: (954) 957-7500 |