Kelly M Clayton, MD | |
1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | |
(954) 265-3482 | |
Not Available |
Full Name | Kelly M Clayton |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 1005 Joe Dimaggio Dr, 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 |
---|---|---|---|
1629126149 | NPI | - | NPPES |
1629126149 | Other | AL | TRICARE SOUTH |
Z01783 | Other | AL | VIVA HEALTH |
515-98312 | Other | AL | BCBS |
110372 | Medicaid | AL | |
515-98422 | Other | AL | BCBS |
110400 | Medicaid | AL |
Entity Name | Inphynet South Broward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
Mailing Address | Practice Location Address |
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Kelly M Clayton, MD 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 Ph: () - | Kelly M Clayton, MD 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 Ph: (954) 265-3482 |
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 |