| Bashar Lutfi Md Pa | |
|
1725 N University Dr Ste 425 Coral Springs FL 33071-6000 | |
| (305) 259-0092 | |
| (786) 545-7627 |
| Full Name | Bashar Lutfi Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1725 N University Dr Ste 425, Coral Springs, Florida |
| Authorized Official Name and Position | Bashar Lutfi (PRESIDENT) |
| Authorized Official Contact | 9547560615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bashar Lutfi Md Pa 9397 Satinleaf Pl Parkland FL 33076-3960 Ph: (305) 259-0092 | Bashar Lutfi Md Pa 1725 N University Dr Ste 425 Coral Springs FL 33071-6000 Ph: (305) 259-0092 |
| NPI Number | 1740458371 |
|---|---|
| Provider Enumeration Date | 02/17/2008 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Medicare PECOS PAC ID | 2466521596 |
|---|---|
| Medicare Enrollment ID | O20080515000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740458371 | NPI | - | NPPES |
| AJ151 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME 79552 (Florida) | Primary |
| Provider Name | Bashar Lutfi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548483761 PECOS PAC ID: 6507945367 Enrollment ID: I20080505000507 |
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