| Bernard P. Alicki Health Center | |
|
1101 W Broward Blvd Fort Lauderdale FL 33312 | |
| (954) 527-6025 | |
| Not Available |
| Full Name | Bernard P. Alicki Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1101 W Broward Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Alisa Bert (INTERIM CFO) |
| Authorized Official Contact | 9548474117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard P. Alicki Health Center 1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 Ph: (954) 527-6041 | Bernard P. Alicki Health Center 1101 W Broward Blvd Fort Lauderdale FL 33312 Ph: (954) 527-6025 |
| NPI Number | 1225073034 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 03/29/2024 |
| Medicare PECOS PAC ID | 3577472422 |
|---|---|
| Medicare Enrollment ID | O20210721003394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225073034 | NPI | - | NPPES |
| 00020 | Other | FL | BCBS |
| 253794022 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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