| |
10446 Taft St, Pembroke Pines, FL 33026-2819 | |
(954) 431-6050 | |
(954) 431-5003 |
Full Name | |
---|---|
Type | Facility |
Speciality | Non-pharmacy Dispensing Site |
Location | 10446 Taft St, Pembroke Pines, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477150670 | 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 |
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1601 Clint Moore Rd Ste 180, Boca Raton, FL 33487-5713 Ph: (561) 995-0229 | 10446 Taft St, Pembroke Pines, FL 33026-2819 Ph: (954) 431-6050 |