| Medstation | |
|
3402 N Andrews Ave Ext Pompano Beach FL 33064 | |
| (954) 368-1302 | |
| (954) 656-3219 |
| Full Name | Medstation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3402 N Andrews Ave Ext, Pompano Beach, Florida |
| Authorized Official Name and Position | Neymar C Lima (MANAGER) |
| Authorized Official Contact | 9543681302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstation 3402 N Andrews Ave Ext Pompano Beach FL 33064 Ph: (954) 368-1302 | Medstation 3402 N Andrews Ave Ext Pompano Beach FL 33064 Ph: (954) 368-1302 |
| NPI Number | 1669095808 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 7719389774 |
|---|---|
| Medicare Enrollment ID | O20210713002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669095808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cesar L Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811971609 PECOS PAC ID: 4981517851 Enrollment ID: I20160505000706 |
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