| Lisa Erin Kenigsberg Fechter, MD | |
|
1131 N 35th Ave Ste 200, Hollywood, FL 33021-5403 | |
| (954) 265-2234 | |
| (954) 893-6300 |
| Full Name | Lisa Erin Kenigsberg Fechter |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 1131 N 35th Ave Ste 200, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942438767 | NPI | - | NPPES |
| 023663100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | MD043265 (District Of Columbia) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | ME134866 (Florida) | Primary |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609884154 PECOS PAC ID: 8123927373 Enrollment ID: O20040107000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Erin Kenigsberg Fechter, MD 2900 Corporate Way, Door D, Miramar, FL 33025 Ph: (954) 276-5685 | Lisa Erin Kenigsberg Fechter, MD 1131 N 35th Ave Ste 200, Hollywood, FL 33021-5403 Ph: (954) 265-2234 |
Melanie Areopagita, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4651 Sheridan St, Suite # 270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-967-8962 | |
Ralph William Charlton, MD MAS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 N 35th Ave, Suite 520, Hollywood, FL 33021 Phone: 954-265-6984 Fax: 954-981-5516 | |
Mr. Enrique T Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4651 Sheridan St., Suite #270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-378-4775 | |
Ms. Jacinta C Magnus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4651 Sheridan St., Suite #270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-378-4775 | |
Michael D Strong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4500 Sheridan St, Hollywood, FL 33021 Phone: 954-966-8000 Fax: 954-966-6614 | |
Suzy Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3950 N 46th Ave, Hollywood, FL 33021 Phone: 954-962-9022 Fax: 954-966-3616 | |
Tarah Joy Popp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 490, Hollywood, FL 33021 Phone: 954-265-3437 Fax: 954-265-3731 |