| Centro Medico Familiar Buen Pastor Inc | |
|
4440 Sheridan St Suite C Hollywood FL 33021-3535 | |
| (954) 882-0191 | |
| (954) 963-1557 |
| Full Name | Centro Medico Familiar Buen Pastor Inc |
|---|---|
| Speciality | General Practice |
| Location | 4440 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Gabriel Florez (MD) |
| Authorized Official Contact | 9548820191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Familiar Buen Pastor Inc 4440 Sheridan St Suite C Hollywood FL 33021-3535 Ph: (954) 882-0191 | Centro Medico Familiar Buen Pastor Inc 4440 Sheridan St Suite C Hollywood FL 33021-3535 Ph: (954) 882-0191 |
| NPI Number | 1013243849 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/26/2010 |
| Medicare PECOS PAC ID | 2668503103 |
|---|---|
| Medicare Enrollment ID | O20100628000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013243849 | NPI | - | NPPES |
| 001771300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gabriel G Florez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639379761 PECOS PAC ID: 4385719665 Enrollment ID: I20101228000302 |
| Provider Name | Gustavo A Correa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790091924 PECOS PAC ID: 9032340559 Enrollment ID: I20140326002282 |
| Provider Name | Andres B Ozual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184739336 PECOS PAC ID: 4880797265 Enrollment ID: I20140422001833 |
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