| Broward Medical Physician Associates Inc | |
|
601 N Flamingo Rd 306 Pembroke Pines FL 33028-1015 | |
| (954) 436-1131 | |
| Not Available |
| Full Name | Broward Medical Physician Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 N Flamingo Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jorge G Diaz (PRES) |
| Authorized Official Contact | 9544361131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Medical Physician Associates Inc 601 N Flamingo Rd Suite 306 Pembroke Pines FL 33028-1015 Ph: (954) 436-1131 | Broward Medical Physician Associates Inc 601 N Flamingo Rd 306 Pembroke Pines FL 33028-1015 Ph: (954) 436-1131 |
| NPI Number | 1861442956 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 12/10/2013 |
| Medicare PECOS PAC ID | 9133298144 |
|---|---|
| Medicare Enrollment ID | O20080618000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861442956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0061870 (Florida) | Primary |
| Provider Name | Jorge Gonzalo Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205878261 PECOS PAC ID: 2961394887 Enrollment ID: I20040402000137 |
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