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871 W Oakland Park Blvd Wilton Manors FL 33311-1731 | |
(954) 567-5730 | |
(954) 567-5733 |
Full Name | |
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Speciality | General Practice |
Location | 871 W Oakland Park Blvd, Wilton Manors, Florida |
Authorized Official Name and Position | Evan Sade (CREDENTIALING DEPT) |
Authorized Official Contact | 9548179402 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2295 Nw Corporate Blvd Suite 140 Boca Raton FL 33431-7373 Ph: (561) 241-1971 | 871 W Oakland Park Blvd Wilton Manors FL 33311-1731 Ph: (954) 567-5730 |
NPI Number | 1396866653 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396866653 | NPI | - | NPPES |
34548 | Other | FL | BLUE SHIELD NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | HCC3662 (Florida) | Primary |
Karl S Brot Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1749 Ne 26th St, Suite E, Wilton Manors, FL 33305 Phone: 954-565-3838 Fax: 954-565-3893 | |
Physio Rehab Consulting, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1881 Ne 26th St, Suite 101, Wilton Manors, FL 33305 Phone: 954-821-0271 | |