| Broward Medical Specialist Inc | |
|
2205 Bay Dr Pompano Beach FL 33062-2912 | |
| (754) 888-5656 | |
| (954) 785-8333 |
| Full Name | Broward Medical Specialist Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2205 Bay Dr, Pompano Beach, Florida |
| Authorized Official Name and Position | Kiprianos S Armenakis (PRESIDENT) |
| Authorized Official Contact | 7548885656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Medical Specialist Inc 2205 Bay Dr Pompano Beach FL 33062-2912 Ph: (754) 888-5656 | Broward Medical Specialist Inc 2205 Bay Dr Pompano Beach FL 33062-2912 Ph: (754) 888-5656 |
| NPI Number | 1700195930 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 08/24/2013 |
| Medicare PECOS PAC ID | 6709078363 |
|---|---|
| Medicare Enrollment ID | O20101014000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700195930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 107125 (Florida) | Primary |
| Provider Name | Kiprianos Armenakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306000211 PECOS PAC ID: 7214129881 Enrollment ID: I20101118000948 |
| Provider Name | Judi M Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347693 PECOS PAC ID: 3476726332 Enrollment ID: I20111109000634 |
| Provider Name | Rafael Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326285636 PECOS PAC ID: 6507133063 Enrollment ID: I20171205001835 |
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