| |
4420 Sheridan St A Hollywood FL 33021-3552 | |
(954) 962-0040 | |
(954) 962-7901 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4420 Sheridan St, Hollywood, Florida |
Authorized Official Name and Position | Roger Daniel Spitzer (PRESIDENT) |
Authorized Official Contact | 9549620040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4420 Sheridan St A Hollywood FL 33021-3552 Ph: (954) 962-0040 | 4420 Sheridan St A Hollywood FL 33021-3552 Ph: (954) 962-0040 |
NPI Number | 1194724302 |
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Provider Enumeration Date | 07/19/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3870546849 |
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Medicare Enrollment ID | O20050302000376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194724302 | NPI | - | NPPES |
257131500 | Medicaid | FL | |
38720 | Other | FL | BCBSOF FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (Florida) | Primary |
Provider Name | Philip A Finlay |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1538168828 PECOS PAC ID: 7719930783 Enrollment ID: I20050302000353 |
Provider Name | Roger D Spitzer |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1275533705 PECOS PAC ID: 4789637760 Enrollment ID: I20111202000507 |
Provider Name | Gustavo A Batista |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1578710174 PECOS PAC ID: 5496891236 Enrollment ID: I20160108002203 |
Provider Name | Marisol Albuerne |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1548575715 PECOS PAC ID: 1759518137 Enrollment ID: I20170221001813 |
Provider Name | Jose A Stoute |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1275691925 PECOS PAC ID: 8224197215 Enrollment ID: I20210216000339 |
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