| East Side Medical Center Of South Florida Llc | |
|
100 Nw 82nd Ave Ste 401 Plantation FL 33324-1835 | |
| (954) 331-5799 | |
| (954) 587-5018 |
| Full Name | East Side Medical Center Of South Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Nw 82nd Ave Ste 401, Plantation, Florida |
| Authorized Official Name and Position | Claire Katz (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9543315799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Side Medical Center Of South Florida Llc 100 Nw 82nd Ave Suite 401 Plantation FL 33324 Ph: (954) 331-5799 | East Side Medical Center Of South Florida Llc 100 Nw 82nd Ave Ste 401 Plantation FL 33324-1835 Ph: (954) 331-5799 |
| NPI Number | 1639190184 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/03/2017 |
| Medicare PECOS PAC ID | 6709046428 |
|---|---|
| Medicare Enrollment ID | O20120404000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639190184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Claire P Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295758001 PECOS PAC ID: 7113187832 Enrollment ID: I20120404000382 |
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