| Ccg Palliative Care Services, Llc | |
|
8251 W Broward Blvd Ste 103 Plantation FL 33324-2703 | |
| (954) 255-7310 | |
| (954) 255-7311 |
| Full Name | Ccg Palliative Care Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8251 W Broward Blvd Ste 103, Plantation, Florida |
| Authorized Official Name and Position | Mario B Pereira (MD) |
| Authorized Official Contact | 9542557310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccg Palliative Care Services, Llc 8251 W Broward Blvd Ste 103 Plantation FL 33324-2703 Ph: (954) 255-7310 | Ccg Palliative Care Services, Llc 8251 W Broward Blvd Ste 103 Plantation FL 33324-2703 Ph: (954) 255-7310 |
| NPI Number | 1811401805 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811401805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME104716 (Florida) | Primary |
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