| Farid Assouad Md, P.a. | |
|
18738 Sw 47th St Miramar FL 33029-6219 | |
| (954) 224-5640 | |
| Not Available |
| Full Name | Farid Assouad Md, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 18738 Sw 47th St, Miramar, Florida |
| Authorized Official Name and Position | Farid Assouad (PRESIDENT) |
| Authorized Official Contact | 9542245640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farid Assouad Md, P.a. 18738 Sw 47th St Miramar FL 33029-6219 Ph: (954) 224-5640 | Farid Assouad Md, P.a. 18738 Sw 47th St Miramar FL 33029-6219 Ph: (954) 224-5640 |
| NPI Number | 1144622754 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/26/2014 |
| Medicare PECOS PAC ID | 6103142807 |
|---|---|
| Medicare Enrollment ID | O20150223001570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144622754 | NPI | - | NPPES |
| 278681800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME98413 (Florida) | Primary |
| Provider Name | Farid Assouad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023051265 PECOS PAC ID: 6901709443 Enrollment ID: I20071009000130 |
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