| Adult & Geriatric Center Of South Florida, Llc | |
|
4399 N Nob Hill Rd Sunrise FL 33351-5813 | |
| (954) 799-6900 | |
| Not Available |
| Full Name | Adult & Geriatric Center Of South Florida, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4399 N Nob Hill Rd, Sunrise, Florida |
| Authorized Official Name and Position | Mario Galdames (PRESIDENT) |
| Authorized Official Contact | 9542557310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Geriatric Center Of South Florida, Llc Po Box 970659 Coconut Creek FL 33097-1201 Ph: (954) 799-6900 | Adult & Geriatric Center Of South Florida, Llc 4399 N Nob Hill Rd Sunrise FL 33351-5813 Ph: (954) 799-6900 |
| NPI Number | 1558618488 |
|---|---|
| Provider Enumeration Date | 08/09/2012 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 7719132299 |
|---|---|
| Medicare Enrollment ID | O20130307000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558618488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (Florida) | Primary |
| Provider Name | Dulce Z Taveras Uceta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760686935 PECOS PAC ID: 2163506767 Enrollment ID: I20080220000631 |
| Provider Name | Mario A Galdames |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831391259 PECOS PAC ID: 7810056223 Enrollment ID: I20081029000933 |
| Provider Name | Reinaldo Camargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306045364 PECOS PAC ID: 7012053093 Enrollment ID: I20091005000633 |
| Provider Name | Charlene Varela Soler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699083717 PECOS PAC ID: 5991932600 Enrollment ID: I20131227001566 |
| Provider Name | Gregory Altimari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952603052 PECOS PAC ID: 7517182587 Enrollment ID: I20140707001647 |
| Provider Name | Valerie J Eyma-heywood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821107731 PECOS PAC ID: 9931205564 Enrollment ID: I20150504000440 |
| Provider Name | Martine Vedrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366834970 PECOS PAC ID: 8325350564 Enrollment ID: I20160224002486 |
| Provider Name | Yasnay Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013397827 PECOS PAC ID: 2769787084 Enrollment ID: I20160318002042 |
| Provider Name | Yamel Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225585730 PECOS PAC ID: 7315221512 Enrollment ID: I20170308000388 |
| Provider Name | Elsie Francois Justilien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194273110 PECOS PAC ID: 2264721273 Enrollment ID: I20170321001583 |
| Provider Name | Yanet Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306295621 PECOS PAC ID: 2365719325 Enrollment ID: I20170522002673 |
| Provider Name | Lenette Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003337726 PECOS PAC ID: 4284993015 Enrollment ID: I20180123003388 |
| Provider Name | Juan Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790231694 PECOS PAC ID: 7012265895 Enrollment ID: I20180810000929 |
| Provider Name | Dillobar Gelfond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346622743 PECOS PAC ID: 0648589655 Enrollment ID: I20190122000353 |
| Provider Name | Victor I Angles-hermoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497202105 PECOS PAC ID: 4587905658 Enrollment ID: I20190418001172 |
| Provider Name | Evelyn Quevedo-enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336603372 PECOS PAC ID: 7416281191 Enrollment ID: I20190701000286 |
| Provider Name | Faisal Mohammed Ghaffar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750845152 PECOS PAC ID: 6204162332 Enrollment ID: I20190729000506 |
| Provider Name | Marcela Osorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699279471 PECOS PAC ID: 4183956881 Enrollment ID: I20191030001135 |
| Provider Name | Xavier Carcache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293239 PECOS PAC ID: 2961803044 Enrollment ID: I20210628000127 |
| Provider Name | Wilfredo Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023772050 PECOS PAC ID: 2062804560 Enrollment ID: I20220112002980 |
| Provider Name | Elianet Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659087294 PECOS PAC ID: 4880050145 Enrollment ID: I20230511003711 |
| Provider Name | Yaritza Maria Pita Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811687940 PECOS PAC ID: 9335506922 Enrollment ID: I20230613003027 |
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