Christos Doctors Inn Walk In Health Care Llc | |
8019 W Sample Rd Coral Springs FL 33065-4750 | |
(954) 969-9903 | |
Not Available |
Full Name | Christos Doctors Inn Walk In Health Care Llc |
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Speciality | Clinic/Center |
Location | 8019 W Sample Rd, Coral Springs, Florida |
Authorized Official Name and Position | Christopher Jacob Smith (MANAGING MEMBER) |
Authorized Official Contact | 9549699903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christos Doctors Inn Walk In Health Care Llc 8019 W Sample Rd Coral Springs FL 33065-4750 Ph: (954) 969-9903 | Christos Doctors Inn Walk In Health Care Llc 8019 W Sample Rd Coral Springs FL 33065-4750 Ph: (954) 969-9903 |
NPI Number | 1215262233 |
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Provider Enumeration Date | 10/08/2009 |
Last Update Date | 07/04/2011 |
Medicare PECOS PAC ID | 8527105014 |
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Medicare Enrollment ID | O20091103000171 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215262233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | L09000083502 (Florida) | Primary |
Provider Name | Christopher Jacob Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366681892 PECOS PAC ID: 8527105006 Enrollment ID: I20091103000160 |
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