| Family Medicine Of Weston Llc | |
|
2300 N Commerce Pkwy Suite 315 Weston FL 33326-3254 | |
| (954) 217-3354 | |
| Not Available |
| Full Name | Family Medicine Of Weston Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 N Commerce Pkwy, Weston, Florida |
| Authorized Official Name and Position | Alberto Rengifo (MD) |
| Authorized Official Contact | 9542173354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Weston Llc 2300 N Commerce Pkwy Suite 315 Weston FL 33326-3254 Ph: (954) 217-3354 | Family Medicine Of Weston Llc 2300 N Commerce Pkwy Suite 315 Weston FL 33326-3254 Ph: (954) 217-3354 |
| NPI Number | 1447346333 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 03/21/2008 |
| Medicare PECOS PAC ID | 3072618107 |
|---|---|
| Medicare Enrollment ID | O20070419000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447346333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alberto Rengifo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174532006 PECOS PAC ID: 5294740114 Enrollment ID: I20070414000005 |
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