Instant Medical Care Center Inc | |
1318 Se 17th St Fort Lauderdale FL 33316-1708 | |
(954) 200-6001 | |
(561) 953-4156 |
Full Name | Instant Medical Care Center Inc |
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Speciality | General Practice |
Location | 1318 Se 17th St, Fort Lauderdale, Florida |
Authorized Official Name and Position | Gilbert Medida (PRESIDENT) |
Authorized Official Contact | 9542006001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Instant Medical Care Center Inc 1318 Se 17th St Fort Lauderdale FL 33316-1708 Ph: (954) 200-6001 | Instant Medical Care Center Inc 1318 Se 17th St Fort Lauderdale FL 33316-1708 Ph: (954) 200-6001 |
NPI Number | 1376852566 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 10/05/2010 |
Medicare PECOS PAC ID | 2163655341 |
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Medicare Enrollment ID | O20140424001160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376852566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Timur Kadirov |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790385946 PECOS PAC ID: 3072964519 Enrollment ID: I20240109001357 |
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