| Doctors Direct Inc | |
|
21055 Yacht Club Dr #1801 Aventura FL 33180-4085 | |
| (561) 716-0000 | |
| Not Available |
| Full Name | Doctors Direct Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21055 Yacht Club Dr, Aventura, Florida |
| Authorized Official Name and Position | Fernando M Lopez-ivern (PRESIDENT) |
| Authorized Official Contact | 5617166000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Direct Inc 21055 Yacht Club Dr #1801 Aventura FL 33180-4085 Ph: (561) 716-0000 | Doctors Direct Inc 21055 Yacht Club Dr #1801 Aventura FL 33180-4085 Ph: (561) 716-0000 |
| NPI Number | 1710230115 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Medicare PECOS PAC ID | 7012160799 |
|---|---|
| Medicare Enrollment ID | O20130107000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710230115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fernando Lopez-ivern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508881889 PECOS PAC ID: 2860470309 Enrollment ID: I20040710000313 |
| Provider Name | Mary M Spitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134564727 PECOS PAC ID: 8820224397 Enrollment ID: I20131112001308 |
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