Invictus Medical & Wellness Group | |
4400 W Sample Rd Ste 140 Coconut Creek FL 33073-3458 | |
(954) 842-6434 | |
(954) 827-0595 |
Full Name | Invictus Medical & Wellness Group |
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Speciality | Family Medicine |
Location | 4400 W Sample Rd Ste 140, Coconut Creek, Florida |
Authorized Official Name and Position | Janett Jalil Martinez (PRESIDENT) |
Authorized Official Contact | 9549605909 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Invictus Medical & Wellness Group 4400 W Sample Rd Ste 140 Coconut Creek FL 33073-3458 Ph: (954) 842-6434 | Invictus Medical & Wellness Group 4400 W Sample Rd Ste 140 Coconut Creek FL 33073-3458 Ph: (954) 842-6434 |
NPI Number | 1306571435 |
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Provider Enumeration Date | 07/21/2022 |
Last Update Date | 04/10/2023 |
Medicare PECOS PAC ID | 1153707088 |
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Medicare Enrollment ID | O20220930000199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306571435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cesar L Perez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811971609 PECOS PAC ID: 4981517851 Enrollment ID: I20160505000706 |
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