Ezra Fox, | |
1100 E Broward Blvd, Ft Lauderdale, FL 33301-2012 | |
(954) 463-5271 | |
Not Available |
Full Name | Ezra Fox |
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Gender | Male |
Speciality | Family Medicine |
Location | 1100 E Broward Blvd, 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 |
---|---|---|---|
1033747225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS19328 (Florida) | Primary |
Entity Name | Holy Cross Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467401877 PECOS PAC ID: 1850298365 Enrollment ID: O20031215000087 |
Mailing Address | Practice Location Address |
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Ezra Fox, 2952 W Birchwood Ave, Chicago, IL 60645-1220 Ph: (773) 465-4238 | Ezra Fox, 1100 E Broward Blvd, Ft Lauderdale, FL 33301-2012 Ph: (954) 463-5271 |
Dr. Raymond Lakin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Ne 48th Ct, Ft Lauderdale, FL 33308 Phone: 954-751-4671 Fax: 954-568-1330 | |
Dr. Norma Benitez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6221 N Federal Hwy, Ft Lauderdale, FL 33308 Phone: 954-491-1686 Fax: 305-461-5911 | |
Dr. Jack Marshall Trainor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4701 N Federal Hwy, Suite A-39, Ft Lauderdale, FL 33308 Phone: 954-771-8177 Fax: 954-771-3629 | |
Carl F Dennison, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3035 E Commercial Blvd, Ft Lauderdale, FL 33308 Phone: 954-776-4981 Fax: 954-776-0146 | |
Lise M Lambert, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 N Ocean Blvd, Suite 101, Ft Lauderdale, FL 33308 Phone: 954-564-1330 Fax: 954-564-0538 | |
Dr. Maria Fedor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Nw 7th Ave, Phoenix Emergency Medicine Of Broward, Ft Lauderdale, FL 33311 Phone: 954-759-6793 |