| General Practice Associates Llc | |
|
3301 Johnson St Hollywood FL 33021 | |
| (954) 989-6650 | |
| (954) 989-7783 |
| Full Name | General Practice Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 Johnson St, Hollywood, Florida |
| Authorized Official Name and Position | Mark H Lazar (OFFICER) |
| Authorized Official Contact | 9549896650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| General Practice Associates Llc 3301 Johnson St Hollywood FL 33021 Ph: (954) 989-6650 | General Practice Associates Llc 3301 Johnson St Hollywood FL 33021 Ph: (954) 989-6650 |
| NPI Number | 1497760227 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 03/05/2010 |
| Medicare PECOS PAC ID | 5496942567 |
|---|---|
| Medicare Enrollment ID | O20101215000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497760227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mario Werbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861407686 PECOS PAC ID: 5193912269 Enrollment ID: I20110124001118 |
| Provider Name | Monica Cruz Coronel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792224 PECOS PAC ID: 4284821356 Enrollment ID: I20110126000394 |
| Provider Name | Mark H Lazar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578578308 PECOS PAC ID: 3375730443 Enrollment ID: I20110606000571 |
| Provider Name | Jared Lazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700346236 PECOS PAC ID: 5092195768 Enrollment ID: I20220712002265 |
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