| Ageless Medicine Associates, Inc | |
|
7200 W Commercial Blvd Ste 210 Lauderhill FL 33319-2148 | |
| (954) 748-4991 | |
| (954) 748-5022 |
| Full Name | Ageless Medicine Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7200 W Commercial Blvd Ste 210, Lauderhill, Florida |
| Authorized Official Name and Position | Herbert R Slavin (OWNER) |
| Authorized Official Contact | 9547484991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Medicine Associates, Inc 7200 W Commercial Blvd Ste 210 Lauderhill FL 33319-2148 Ph: (954) 748-4991 | Ageless Medicine Associates, Inc 7200 W Commercial Blvd Ste 210 Lauderhill FL 33319-2148 Ph: (954) 748-4991 |
| NPI Number | 1356616916 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Medicare PECOS PAC ID | 5193975142 |
|---|---|
| Medicare Enrollment ID | O20121029000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356616916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME00036889 (Florida) | Primary |
| Provider Name | Herbert R Slavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528018512 PECOS PAC ID: 7618127663 Enrollment ID: I20121109000355 |
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