| Broward Health - Physician Group | |
|
2101 Ne 26th St Wilton Manors FL 33305-1535 | |
| (954) 767-5340 | |
| Not Available |
| Full Name | Broward Health - Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2101 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Frank P Nask (PRESIDENT/CEO) |
| Authorized Official Contact | 9543555100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Health - Physician Group Po Box 862851 Orlando FL 32886-2851 Ph: (954) 847-4273 | Broward Health - Physician Group 2101 Ne 26th St Wilton Manors FL 33305-1535 Ph: (954) 767-5340 |
| NPI Number | 1518247337 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518247337 | NPI | - | NPPES |
| 00020 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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