Intergrative Health Care Of South Florida | |
1880 E Commercial Blvd Ste 3 Fort Lauderdale FL 33308-3747 | |
(954) 938-8998 | |
(954) 901-2838 |
Full Name | Intergrative Health Care Of South Florida |
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Speciality | Internal Medicine |
Location | 1880 E Commercial Blvd Ste 3, Fort Lauderdale, Florida |
Authorized Official Name and Position | Dinh Pham (OWNER/MEDICAL DOCTOR) |
Authorized Official Contact | 9546507662 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intergrative Health Care Of South Florida 2098 Ne 54th St Fort Lauderdale FL 33308-3158 Ph: (954) 650-7662 | Intergrative Health Care Of South Florida 1880 E Commercial Blvd Ste 3 Fort Lauderdale FL 33308-3747 Ph: (954) 938-8998 |
NPI Number | 1407343015 |
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Provider Enumeration Date | 04/18/2018 |
Last Update Date | 06/23/2019 |
Medicare PECOS PAC ID | 2668706870 |
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Medicare Enrollment ID | O20190621001352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407343015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | ME82117 (Florida) | Primary |
Provider Name | Dinh Q Pham |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861495657 PECOS PAC ID: 6204853682 Enrollment ID: I20051025000610 |
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