Calzada Primary Care, Pa | |
2301 N University Dr Ste 108 Pembroke Pines FL 33024-3617 | |
(954) 987-4900 | |
(954) 987-4922 |
Full Name | Calzada Primary Care, Pa |
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Speciality | Clinic/Center |
Location | 2301 N University Dr Ste 108, Pembroke Pines, Florida |
Authorized Official Name and Position | Pablo J Calzada (PRESIDENT) |
Authorized Official Contact | 9549874900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Calzada Primary Care, Pa 2301 N University Dr Ste 108 Pembroke Pines FL 33024-3617 Ph: (954) 987-4900 | Calzada Primary Care, Pa 2301 N University Dr Ste 108 Pembroke Pines FL 33024-3617 Ph: (954) 987-4900 |
NPI Number | 1225301013 |
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Provider Enumeration Date | 02/09/2012 |
Last Update Date | 09/27/2024 |
Medicare PECOS PAC ID | 8022262765 |
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Medicare Enrollment ID | O20130206000196 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225301013 | NPI | - | NPPES |
104374600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Pablo J Calzada |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528007887 PECOS PAC ID: 9638078330 Enrollment ID: I20031231000649 |
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