| Breath Of Life Medical Center Inc | |
|
5090 Coconut Creek Pkwy Margate FL 33063 | |
| (703) 867-6672 | |
| (703) 441-1905 |
| Full Name | Breath Of Life Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5090 Coconut Creek Pkwy, Margate, Florida |
| Authorized Official Name and Position | Francesse M Bataille (CEO) |
| Authorized Official Contact | 7034411905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breath Of Life Medical Center Inc 5090 Coconut Creek Pkwy Margate FL 33063-3942 Ph: (954) 933-2731 | Breath Of Life Medical Center Inc 5090 Coconut Creek Pkwy Margate FL 33063 Ph: (703) 867-6672 |
| NPI Number | 1750890513 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 04/06/2021 |
| Medicare PECOS PAC ID | 2860725892 |
|---|---|
| Medicare Enrollment ID | O20190606001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750890513 | NPI | - | NPPES |
| 105730700 | Medicaid | FL | |
| 1255371613 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME109600 (Florida) | Primary |
| Provider Name | Francesse M Bataille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255371613 PECOS PAC ID: 1052384393 Enrollment ID: I20190606002287 |
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