| Biologik Np | |
|
924 Se 12th Ave Deerfield Beach FL 33441-5879 | |
| (954) 376-1163 | |
| Not Available |
| Full Name | Biologik Np |
|---|---|
| Speciality | Clinic/Center |
| Location | 924 Se 12th Ave, Deerfield Beach, Florida |
| Authorized Official Name and Position | Ingrid Rizo (ADMINISTRATOR) |
| Authorized Official Contact | 9543761163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biologik Np 924 Se 12th Ave Deerfield Beach FL 33441-5879 Ph: (954) 376-1163 | Biologik Np 924 Se 12th Ave Deerfield Beach FL 33441-5879 Ph: (954) 376-1163 |
| NPI Number | 1689265936 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 2466867288 |
|---|---|
| Medicare Enrollment ID | O20210209000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689265936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | Ingrid Rizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265050918 PECOS PAC ID: 3375958192 Enrollment ID: I20210226000204 |
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