Infections Managed Inc | |
3012 E Commercial Blvd Fort Lauderdale FL 33308-4356 | |
(954) 776-9992 | |
(954) 776-9993 |
Full Name | Infections Managed Inc |
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Speciality | Internal Medicine |
Location | 3012 E Commercial Blvd, Fort Lauderdale, Florida |
Authorized Official Name and Position | Stephen A Renae (PRESIDENT) |
Authorized Official Contact | 9547769992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infections Managed Inc 3012 E Commercial Blvd Fort Lauderdale FL 33308-4356 Ph: (954) 776-9992 | Infections Managed Inc 3012 E Commercial Blvd Fort Lauderdale FL 33308-4356 Ph: (954) 776-9992 |
NPI Number | 1407163728 |
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Provider Enumeration Date | 09/08/2010 |
Last Update Date | 06/01/2022 |
Medicare PECOS PAC ID | 1355521436 |
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Medicare Enrollment ID | O20110207000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407163728 | NPI | - | NPPES |
003165300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME63353 (Florida) | Primary |
Provider Name | Stephen A Renae |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1841296670 PECOS PAC ID: 4082606942 Enrollment ID: I20090916000783 |
Provider Name | Anita Kaur Singh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518587930 PECOS PAC ID: 7416360474 Enrollment ID: I20210112000974 |
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