Dr Holly Mahon, MD | |
1600 S Andrews Ave, Broward Pediatrics Ed, Ft Lauderdale, FL 33316-2510 | |
(954) 355-4400 | |
Not Available |
Full Name | Dr Holly Mahon |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 1600 S Andrews Ave, Ft Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952397887 | NPI | - | NPPES |
23458 | Other | FL | MEDICARE CORE |
037341199 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME64987 (Florida) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | ME64987 (Florida) | Primary |
Entity Name | Phoenix Emergency Medicine Of Broward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871542969 PECOS PAC ID: 5991793002 Enrollment ID: O20040505001132 |
Mailing Address | Practice Location Address |
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Dr Holly Mahon, MD 2545 Riverlane Ter, Ft Lauderdale, FL 33312-4765 Ph: () - | Dr Holly Mahon, MD 1600 S Andrews Ave, Broward Pediatrics Ed, Ft Lauderdale, FL 33316-2510 Ph: (954) 355-4400 |
Dr. Scott Nichols, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Broward General Pediatric Dept., Ft Lauderdale, FL 33316 Phone: 954-355-4400 | |
Dr. Kristie Rivers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Broward Pediatrics Dept., Ft Lauderdale, FL 33316 Phone: 954-355-4400 | |
Dr. Palghat M Sahasranaman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1319 Se 2nd Ave, Ft Lauderdale, FL 33316 Phone: 954-452-7576 | |
Dr. Francis Amador, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Broward General Peds Ed, Ft Lauderdale, FL 33316 Phone: 954-355-4400 | |
Sudha Gupta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Nw 7th Ave, Ft Lauderdale, FL 33311 Phone: 954-759-6600 Fax: 954-759-6665 | |
Barbara Alexander, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6181 N Federal Hwy, Ft Lauderdale, FL 33308 Phone: 954-493-6496 Fax: 954-493-6726 | |
Dr. Patricia Rowe-king, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Broward General Med Ctr - Pediatrics Dept., Ft Lauderdale, FL 33316 Phone: 954-355-4400 |