| Bhpg Weston Physician Office 2 | |
|
2300 N Commerce Pkwy Suite 113 Weston FL 33326-3254 | |
| (954) 320-3390 | |
| (954) 340-4557 |
| Full Name | Bhpg Weston Physician Office 2 |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 N Commerce Pkwy, Weston, Florida |
| Authorized Official Name and Position | Alexander Fernandez (SVP/CFO) |
| Authorized Official Contact | 9544737315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhpg Weston Physician Office 2 1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 Ph: () - | Bhpg Weston Physician Office 2 2300 N Commerce Pkwy Suite 113 Weston FL 33326-3254 Ph: (954) 320-3390 |
| NPI Number | 1558774695 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558774695 | NPI | - | NPPES |
| 253794073 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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