| Family & Patient Health Group Llc | |
|
10796 Pines Blvd Suite 201 Pembroke Pines FL 33026-3919 | |
| (954) 374-9692 | |
| (954) 589-1726 |
| Full Name | Family & Patient Health Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 10796 Pines Blvd Suite 201, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jose J Castaneda (AMBR) |
| Authorized Official Contact | 9543749692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Patient Health Group Llc 10796 Pines Blvd Pembroke Pines FL 33026-3919 Ph: (954) 374-9692 | Family & Patient Health Group Llc 10796 Pines Blvd Suite 201 Pembroke Pines FL 33026-3919 Ph: (954) 374-9692 |
| NPI Number | 1972032498 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2860767688 |
|---|---|
| Medicare Enrollment ID | O20171004002539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972032498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Tie Qian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336131036 PECOS PAC ID: 5890787717 Enrollment ID: I20040331001565 |
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