| |
4490 N University Dr, Lauderhill, FL 33351-4513 | |
(754) 701-7274 | |
(954) 453-6065 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 4490 N University Dr, Lauderhill, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194365841 | NPI | - | NPPES |
PT33616 | Other | FL | PT LICENSE |
CH8692 | Other | FL | MEDICAL LICENSE |
Mailing Address | Practice Location Address |
---|---|
4490 N University Dr, Lauderhill, FL 33351-4513 Ph: (754) 701-7274 | 4490 N University Dr, Lauderhill, FL 33351-4513 Ph: (754) 701-7274 |