| |
6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | |
(954) 771-5900 | |
(954) 771-5959 |
Full Name | |
---|---|
Type | Facility |
Speciality | Non-pharmacy Dispensing Site |
Location | 6405 N Federal Hwy Ste 405, Ft Lauderdale, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538766738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1601 Clint Moore Rd Ste 180, Boca Raton, FL 33487-5713 Ph: (561) 995-0229 | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 Ph: (954) 771-5900 |