| Jesse Areopagita Md Pllc | |
|
703 N Flamingo Rd Pembroke Pines FL 33028-1006 | |
| (954) 436-5000 | |
| Not Available |
| Full Name | Jesse Areopagita Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 N Flamingo Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jesse Areopagita (PRESIDENT) |
| Authorized Official Contact | 9547077668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Areopagita Md Pllc 3051 Sw 163rd Ave Miramar FL 33027-5239 Ph: (954) 707-7668 | Jesse Areopagita Md Pllc 703 N Flamingo Rd Pembroke Pines FL 33028-1006 Ph: (954) 436-5000 |
| NPI Number | 1669998662 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/28/2017 |
| Medicare PECOS PAC ID | 1658632559 |
|---|---|
| Medicare Enrollment ID | O20180308002467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669998662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME84862 (Florida) | Primary |
| Provider Name | Jesse Areopagita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174525083 PECOS PAC ID: 6709799935 Enrollment ID: I20031112000453 |
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