| Jeffrey M. Pollock, Md Pa | |
|
201 Nw 82 Avenue Suite # 505 Plantation FL 33324-1857 | |
| (954) 617-0322 | |
| (954) 617-0619 |
| Full Name | Jeffrey M. Pollock, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Nw 82 Avenue, Plantation, Florida |
| Authorized Official Name and Position | Jeffrey M Pollock (SOLE PROPRIETOR) |
| Authorized Official Contact | 9546170322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M. Pollock, Md Pa 201 Nw 82 Avenue Suite # 505 Plantation FL 33324-1857 Ph: (954) 617-0322 | Jeffrey M. Pollock, Md Pa 201 Nw 82 Avenue Suite # 505 Plantation FL 33324-1857 Ph: (954) 617-0322 |
| NPI Number | 1518265784 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 2163606757 |
|---|---|
| Medicare Enrollment ID | O20110405001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518265784 | NPI | - | NPPES |
| 251590300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME0056796 (Florida) | Primary |
| Provider Name | Jeffrey M Pollock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407828320 PECOS PAC ID: 6709060395 Enrollment ID: I20110519000770 |
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