| Acticare Llc | |
|
703 N Flamingo Rd Pembroke Pines FL 33028-1006 | |
| (954) 436-5000 | |
| Not Available |
| Full Name | Acticare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 N Flamingo Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Ludwig R Pierre (OWNER) |
| Authorized Official Contact | 9542054797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acticare Llc 14359 Miramar Pkwy # 507 Miramar FL 33027-4134 Ph: (954) 205-4797 | Acticare Llc 703 N Flamingo Rd Pembroke Pines FL 33028-1006 Ph: (954) 436-5000 |
| NPI Number | 1801319645 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 10/02/2017 |
| Medicare PECOS PAC ID | 2961763719 |
|---|---|
| Medicare Enrollment ID | O20180219002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801319645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME92777 (Florida) | Primary |
| Provider Name | Ludwig Rommel Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902884307 PECOS PAC ID: 6608808662 Enrollment ID: I20050910000043 |
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