| Jean Claude Dubois, P.a. | |
|
601 E Sample Rd Room 110 Pompano Beach FL 33064-4443 | |
| (954) 783-5151 | |
| (954) 783-0219 |
| Full Name | Jean Claude Dubois, P.a. |
|---|---|
| Speciality | General Practice |
| Location | 601 E Sample Rd, Pompano Beach, Florida |
| Authorized Official Name and Position | Jean Claude Dubois (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9547835151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Claude Dubois, P.a. 601 E Sample Rd Room 110 Pompano Beach FL 33064-4443 Ph: (954) 783-5151 | Jean Claude Dubois, P.a. 601 E Sample Rd Room 110 Pompano Beach FL 33064-4443 Ph: (954) 783-5151 |
| NPI Number | 1992067193 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 11/18/2015 |
| Medicare PECOS PAC ID | 3577727668 |
|---|---|
| Medicare Enrollment ID | O20120621000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992067193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0053632 (Florida) | Primary |
| Provider Name | Jean-claude Dubois |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386789931 PECOS PAC ID: 6103080296 Enrollment ID: I20120716000445 |
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