Integrative Medical Mobile Solutions Llc | |
3042 N Federal Hwy Ste 305 Fort Lauderdale FL 33306-1400 | |
(954) 417-5220 | |
(866) 479-4761 |
Full Name | Integrative Medical Mobile Solutions Llc |
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Speciality | General Practice |
Location | 3042 N Federal Hwy Ste 305, Fort Lauderdale, Florida |
Authorized Official Name and Position | John D Rhoden (MANAGER) |
Authorized Official Contact | 9544175220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrative Medical Mobile Solutions Llc 3042 N Federal Hwy Ste 305 Fort Lauderdale FL 33306-1400 Ph: (954) 417-5220 | Integrative Medical Mobile Solutions Llc 3042 N Federal Hwy Ste 305 Fort Lauderdale FL 33306-1400 Ph: (954) 417-5220 |
NPI Number | 1841947447 |
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Provider Enumeration Date | 03/04/2022 |
Last Update Date | 07/22/2023 |
Medicare PECOS PAC ID | 6901283894 |
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Medicare Enrollment ID | O20220516000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841947447 | NPI | - | NPPES |
ME12903 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | James H Frank |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1447231477 PECOS PAC ID: 0749189363 Enrollment ID: I20040102000579 |
Provider Name | Sophia L Sepaul |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316402449 PECOS PAC ID: 5799196747 Enrollment ID: I20201123001161 |
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