| Center Of Hope Healthcare, Llc | |
|
6879 W Commerical Blvd Tamarac FL 33319 | |
| (561) 951-8093 | |
| Not Available |
| Full Name | Center Of Hope Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6879 W Commerical Blvd, Tamarac, Florida |
| Authorized Official Name and Position | My Augustin (OWNER) |
| Authorized Official Contact | 5619518093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Hope Healthcare, Llc 2061 Ne 2nd Ave Pompano Beach FL 33060 Ph: (561) 951-8093 | Center Of Hope Healthcare, Llc 6879 W Commerical Blvd Tamarac FL 33319 Ph: (561) 951-8093 |
| NPI Number | 1538711296 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 9234565532 |
|---|---|
| Medicare Enrollment ID | O20200205001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538711296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ajit M Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427008838 PECOS PAC ID: 9133028426 Enrollment ID: I20070622000009 |
| Provider Name | Martine Vedrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366834970 PECOS PAC ID: 8325350564 Enrollment ID: I20160224002486 |
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