| Caremax Medical Center Of Tamarac Llc | |
|
7800 N University Dr # 101-204 Tamarac FL 33321-2128 | |
| (954) 670-1170 | |
| (954) 670-1171 |
| Full Name | Caremax Medical Center Of Tamarac Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7800 N University Dr # 101-204, Tamarac, Florida |
| Authorized Official Name and Position | Joseph Nicholas De Vera (RA) |
| Authorized Official Contact | 7862008305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremax Medical Center Of Tamarac Llc 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Caremax Medical Center Of Tamarac Llc 7800 N University Dr # 101-204 Tamarac FL 33321-2128 Ph: (954) 670-1170 |
| NPI Number | 1134681893 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 05/08/2023 |
| Medicare PECOS PAC ID | 6901237056 |
|---|---|
| Medicare Enrollment ID | O20200506000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134681893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sondra Aiken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073750352 PECOS PAC ID: 0749437036 Enrollment ID: I20120905000772 |
| Provider Name | Juliet M Interiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396086724 PECOS PAC ID: 3274772165 Enrollment ID: I20130626000242 |
| Provider Name | Raul Calderin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063729374 PECOS PAC ID: 8921226648 Enrollment ID: I20140821001455 |
| Provider Name | Javier Espinal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023326410 PECOS PAC ID: 9638498678 Enrollment ID: I20150424001531 |
| Provider Name | Danilo Morejon Carbonell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437727948 PECOS PAC ID: 1557767514 Enrollment ID: I20210831002035 |
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