| Broward Internal Medicine P A | |
|
8890 W Oakland Park Blvd Ste 203 Sunrise FL 33351-7224 | |
| (954) 746-5678 | |
| (954) 746-5555 |
| Full Name | Broward Internal Medicine P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 8890 W Oakland Park Blvd Ste 203, Sunrise, Florida |
| Authorized Official Name and Position | Soling Li (PRESIDENT) |
| Authorized Official Contact | 9547465678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Internal Medicine P A 8890 W Oakland Park Blvd Ste 203 Sunrise FL 33351-7224 Ph: (954) 746-5678 | Broward Internal Medicine P A 8890 W Oakland Park Blvd Ste 203 Sunrise FL 33351-7224 Ph: (954) 746-5678 |
| NPI Number | 1821095621 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 8729052485 |
|---|---|
| Medicare Enrollment ID | O20040819001523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821095621 | NPI | - | NPPES |
| 270532000 | Medicaid | FL | |
| K6039 | Other | FL | GROUP IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS8465 (Florida) | Primary |
| Provider Name | Soling Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649233925 PECOS PAC ID: 1355315011 Enrollment ID: I20040823000069 |
| Provider Name | Wen Y Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861053985 PECOS PAC ID: 3476981218 Enrollment ID: I20220824000227 |
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