| Cqc Healthcare Pa | |
|
100 E Sample Rd Ste 300 Pompano Beach FL 33064 | |
| (786) 207-4788 | |
| (954) 416-6677 |
| Full Name | Cqc Healthcare Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 E Sample Rd Ste 300, Pompano Beach, Florida |
| Authorized Official Name and Position | Sidney Coupet (PRESIDENT) |
| Authorized Official Contact | 7862074788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cqc Healthcare Pa Po Box 91 Hallandale Beach FL 33008-0091 Ph: (814) 449-3605 | Cqc Healthcare Pa 100 E Sample Rd Ste 300 Pompano Beach FL 33064 Ph: (786) 207-4788 |
| NPI Number | 1215476239 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 09/26/2020 |
| Certification Date | 09/26/2020 |
| Medicare PECOS PAC ID | 7113291642 |
|---|---|
| Medicare Enrollment ID | O20170922000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215476239 | NPI | - | NPPES |
| Provider Name | Sidney Coupet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285803262 PECOS PAC ID: 4688837214 Enrollment ID: I20130823000047 |
| Provider Name | Linda Elma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447952833 PECOS PAC ID: 0547627382 Enrollment ID: I20230608003198 |
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