| Aimergency Connectcare | |
|
5913 Nw 56th Pl Tamarac FL 33319-2313 | |
| (954) 686-6577 | |
| (954) 245-0458 |
| Full Name | Aimergency Connectcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 5913 Nw 56th Pl, Tamarac, Florida |
| Authorized Official Name and Position | Alexis Daly (PRESIDENT) |
| Authorized Official Contact | 9546866577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aimergency Connectcare Po Box 132 Covington GA 30015-0132 Ph: (954) 686-6577 | Aimergency Connectcare 5913 Nw 56th Pl Tamarac FL 33319-2313 Ph: (954) 686-6577 |
| NPI Number | 1508546755 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 8921454083 |
|---|---|
| Medicare Enrollment ID | O20231025002213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508546755 | NPI | - | NPPES |
| Provider Name | Habib Ur-rehman Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346389541 PECOS PAC ID: 0446355192 Enrollment ID: I20070425000224 |
| Provider Name | Tiffany Marie Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864707 PECOS PAC ID: 2062808637 Enrollment ID: I20220407000653 |
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