Premier Total Healthcare Inc | |
1250 E Hallandale Beach Blvd, 2nd Floor, Hallandale Beach, FL 33009-4634 | |
(954) 456-0250 | |
(954) 456-0820 |
Full Name | Premier Total Healthcare Inc |
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Type | Facility |
Speciality | Pain Medicine - Pain Medicine |
Location | 1250 E Hallandale Beach Blvd, Hallandale Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508969536 | NPI | - | NPPES |
DD8449 | Other | FL | RAILROAD MEDICARE |
45321 | Other | FL | BC/BS OF FL GROUP# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH7202 (Florida) | Primary |
207Q00000X | Family Medicine | OS5537 (Florida) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | OS5537 (Florida) | Primary |
Provider Name | Kevin P Mcgrath |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1134230154 PECOS PAC ID: 8426159898 Enrollment ID: I20070730000344 |
Provider Name | Mathew C Popkin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932254802 PECOS PAC ID: 4486786332 Enrollment ID: I20100806000191 |
Provider Name | Christopher A Dicarlo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033228721 PECOS PAC ID: 0648436147 Enrollment ID: I20120727000670 |
Provider Name | Keregay K Meeks Coleman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376896498 PECOS PAC ID: 3779892831 Enrollment ID: I20151013000231 |
Provider Name | Susana Rodriguez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275798027 PECOS PAC ID: 7315217155 Enrollment ID: I20170726003725 |
Provider Name | Daniel A Light |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326714734 PECOS PAC ID: 1759779085 Enrollment ID: I20211019001891 |
Mailing Address | Practice Location Address |
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Premier Total Healthcare Inc 1250 E Hallandale Beach Blvd, 2nd Floor, Hallandale Beach, FL 33009-4634 Ph: (954) 456-0250 | Premier Total Healthcare Inc 1250 E Hallandale Beach Blvd, 2nd Floor, Hallandale Beach, FL 33009-4634 Ph: (954) 456-0250 |