| Casa Medical Group Llc | |
|
4601 Sheridan St Ste 301 Hollywood FL 33021-3433 | |
| (786) 556-8723 | |
| Not Available |
| Full Name | Casa Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4601 Sheridan St Ste 301, Hollywood, Florida |
| Authorized Official Name and Position | Naranbaatar Erkhembaatar (OWNER) |
| Authorized Official Contact | 7865568723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Medical Group Llc 4601 Sheridan St Ste 301 Hollywood FL 33021-3433 Ph: () - | Casa Medical Group Llc 4601 Sheridan St Ste 301 Hollywood FL 33021-3433 Ph: (786) 556-8723 |
| NPI Number | 1275201972 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 6406245141 |
|---|---|
| Medicare Enrollment ID | O20220210001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275201972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Naranbaatar Erkhembaatar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366919458 PECOS PAC ID: 3971838368 Enrollment ID: I20190708000994 |
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