| Broward Center Of Medical Excellence Inc. | |
|
103 Se 20th St Fort Lauderdale FL 33316-2846 | |
| (954) 462-7558 | |
| (954) 525-5820 |
| Full Name | Broward Center Of Medical Excellence Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Se 20th St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Kathy Dede (OFFICE MANAGER) |
| Authorized Official Contact | 9548513108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Center Of Medical Excellence Inc. 103 Se 20th St Fort Lauderdale FL 33316-2846 Ph: (954) 462-7558 | Broward Center Of Medical Excellence Inc. 103 Se 20th St Fort Lauderdale FL 33316-2846 Ph: (954) 462-7558 |
| NPI Number | 1447734322 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 09/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447734322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME13408 (Florida) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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