| Jireh Medical Center Corp | |
|
7900 Nw 33rd St Ste 101 Hollywood FL 33024-2209 | |
| (954) 962-5300 | |
| (954) 962-0100 |
| Full Name | Jireh Medical Center Corp |
|---|---|
| Speciality | General Practice |
| Location | 7900 Nw 33rd St Ste 101, Hollywood, Florida |
| Authorized Official Name and Position | Marta Rosa Fernandez (MD) |
| Authorized Official Contact | 9549625300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jireh Medical Center Corp 7900 Nw 33rd St Ste 101 Hollywood FL 33024-2209 Ph: (954) 962-5300 | Jireh Medical Center Corp 7900 Nw 33rd St Ste 101 Hollywood FL 33024-2209 Ph: (954) 962-5300 |
| NPI Number | 1932566965 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 06/12/2019 |
| Medicare PECOS PAC ID | 0547559833 |
|---|---|
| Medicare Enrollment ID | O20160510000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932566965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Marta R Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780666750 PECOS PAC ID: 3779579578 Enrollment ID: I20040426000068 |
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