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410 Ne 44th St, Oakland Park, FL 33334-1423 | |
(954) 561-4700 | |
(954) 561-0812 |
Full Name | |
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Type | Facility |
Speciality | Anesthesiology |
Location | 410 Ne 44th St, Oakland Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588801492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207L00000X | Anesthesiology | (* (Not Available)) | Primary |
Provider Name | Douglas Paul Kellerman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194863100 PECOS PAC ID: 5092769430 Enrollment ID: I20050310000385 |
Provider Name | Michael F Petrie |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518067461 PECOS PAC ID: 1557413283 Enrollment ID: I20090710000170 |
Mailing Address | Practice Location Address |
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410 Ne 44th St, Oakland Park, FL 33334-1423 Ph: (954) 561-4700 | 410 Ne 44th St, Oakland Park, FL 33334-1423 Ph: (954) 561-4700 |