Bright Care Family Medicine Corp | |
1920 E Hallandale Blvd Suite 901 Hallandale Beach FL 33009 | |
(786) 733-1066 | |
(786) 839-3258 |
Full Name | Bright Care Family Medicine Corp |
---|---|
Speciality | Family Medicine |
Location | 1920 E Hallandale Blvd, Hallandale Beach, Florida |
Authorized Official Name and Position | Dmitry Zhukovski (MEDICAL DIRECTOR) |
Authorized Official Contact | 7867331066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bright Care Family Medicine Corp 1920 E Hallandale Beach Blvd Ste 901 Hallandale Beach FL 33009-4726 Ph: (786) 733-1066 | Bright Care Family Medicine Corp 1920 E Hallandale Blvd Suite 901 Hallandale Beach FL 33009 Ph: (786) 733-1066 |
NPI Number | 1659001741 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 10/21/2022 |
Medicare PECOS PAC ID | 9436526696 |
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Medicare Enrollment ID | O20221101002925 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659001741 | NPI | - | NPPES |
113967000 | Medicaid | FL | |
OS18656 | Other | FL | DEPARTMENT OF HEALTH OSTEOPATHIC PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dmitry Zhukovski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295728731 PECOS PAC ID: 6608854245 Enrollment ID: I20221101003007 |
Provider Name | Constance Schmidt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538878525 PECOS PAC ID: 8224492814 Enrollment ID: I20230914004122 |
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