| 121healthcare Services ,llc | |
|
8201 N University Dr Tamarac FL 33321-1709 | |
| (516) 589-9386 | |
| Not Available |
| Full Name | 121healthcare Services ,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8201 N University Dr, Tamarac, Florida |
| Authorized Official Name and Position | Sarika Badgamia (BILLING MANAGER) |
| Authorized Official Contact | 9544154421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 121healthcare Services ,llc 14240 Jockey Cir S Davie FL 33330-1062 Ph: () - | 121healthcare Services ,llc 8201 N University Dr Tamarac FL 33321-1709 Ph: (516) 589-9386 |
| NPI Number | 1831765528 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Medicare PECOS PAC ID | 7012300122 |
|---|---|
| Medicare Enrollment ID | O20220214002367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831765528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Frederick N Laborde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659754919 PECOS PAC ID: 4082950902 Enrollment ID: I20190115001383 |
| Provider Name | Lesly Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700316379 PECOS PAC ID: 1850663709 Enrollment ID: I20200518000231 |
| Provider Name | Ritchie L Ambroise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255718045 PECOS PAC ID: 9234428814 Enrollment ID: I20201008003293 |
| Provider Name | Efosa O Osawe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427317528 PECOS PAC ID: 2466765144 Enrollment ID: I20221004001425 |
| Provider Name | Abelardo Broceta Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417586546 PECOS PAC ID: 1658745740 Enrollment ID: I20230313000388 |
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