| John Bancroft Hylton M.d,p.a | |
|
12323 Sw 55th St Suite 1003 Cooper City FL 33330-3312 | |
| (954) 252-0083 | |
| (954) 252-0207 |
| Full Name | John Bancroft Hylton M.d,p.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 12323 Sw 55th St, Cooper City, Florida |
| Authorized Official Name and Position | John Bancroft Hylton (PRESIDENT) |
| Authorized Official Contact | 9542520083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Bancroft Hylton M.d,p.a 12323 Sw 55th St Suite 1003 Cooper City FL 33330-3312 Ph: (954) 252-0083 | John Bancroft Hylton M.d,p.a 12323 Sw 55th St Suite 1003 Cooper City FL 33330-3312 Ph: (954) 252-0083 |
| NPI Number | 1225378516 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 4284872326 |
|---|---|
| Medicare Enrollment ID | O20130530000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225378516 | NPI | - | NPPES |
| 374309800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | ME0060538 (Florida) | Secondary |
| Provider Name | John B Hylton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316951700 PECOS PAC ID: 5395768279 Enrollment ID: I20060105000819 |
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