<unavail> in Wilton Manors, FL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Wilton Manors, Florida. The current practice location for is 2630 N Andrews Ave, Wilton Manors, Florida. For appointments, you can reach them via phone at (954) 525-4900. The mailing address for is 2630 N Andrews Ave, Wilton Manors, Florida and phone number is (954) 525-4900.

is licensed to practice in Florida (license number ME43065). The clinic also participates in the medicare program and its NPI number is 1689059453. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 525-4900.

Contact Information


	2630 N Andrews Ave Wilton Manors FL 33311-2550
	(954) 525-4900
	(954) 396-3110

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2630 N Andrews Ave, Wilton Manors, Florida
Authorized Official Name and Position	Joseph Fanfan (PRESIDENT)
Authorized Official Contact	9545254900
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2630 N Andrews Ave Wilton Manors FL 33311-2550 Ph: (954) 525-4900	2630 N Andrews Ave Wilton Manors FL 33311-2550 Ph: (954) 525-4900

NPI Details:

NPI Number	1689059453
Provider Enumeration Date	07/22/2015
Last Update Date	05/09/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	3779878137
Medicare Enrollment ID	O20160824000913

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689059453	NPI	-	NPPES
068166100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	ME43065 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Joseph Jr Fanfan
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1265608616 PECOS PAC ID: 2567518764 Enrollment ID: I20090915000378

Reviews and Comments

Clinic/Center in Wilton Manors, FL

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2607 Ne 10th Ave, Wilton Manors, FL 33334 Phone: 954-763-1230 Fax: 954-763-1238
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- Medicare Primary Care in Wilton Manors, FL