| Heritage Medical Care Inc | |
|
8200 W Sunrise Blvd Ste A-5 Plantation FL 33322-5426 | |
| (305) 979-7459 | |
| Not Available |
| Full Name | Heritage Medical Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8200 W Sunrise Blvd Ste A-5, Plantation, Florida |
| Authorized Official Name and Position | Gloria Vazquez (PRESIDENT) |
| Authorized Official Contact | 3059797459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Medical Care Inc 15751 Sheridan St # 439 Southwest Ranches FL 33331-3486 Ph: () - | Heritage Medical Care Inc 8200 W Sunrise Blvd Ste A-5 Plantation FL 33322-5426 Ph: (305) 979-7459 |
| NPI Number | 1649951674 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 2163871641 |
|---|---|
| Medicare Enrollment ID | O20231208002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649951674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gloria M Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841620390 PECOS PAC ID: 3870880065 Enrollment ID: I20161003002252 |
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