Juan Carlos Rondon Md Pa | |
3157 N University Dr Ste 103 Hollywood FL 33024-2258 | |
(954) 322-8985 | |
(954) 322-8981 |
Full Name | Juan Carlos Rondon Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 3157 N University Dr Ste 103, Hollywood, Florida |
Authorized Official Name and Position | Juan Carlos Rondon (OWNER/ MD) |
Authorized Official Contact | 9543228985 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Juan Carlos Rondon Md Pa 3157 N University Dr Suite 103 Davie FL 33024-3623 Ph: (954) 322-8985 | Juan Carlos Rondon Md Pa 3157 N University Dr Ste 103 Hollywood FL 33024-2258 Ph: (954) 322-8985 |
NPI Number | 1710930474 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 3779559067 |
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Medicare Enrollment ID | O20080626000341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710930474 | NPI | - | NPPES |
258851000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME79915 (Florida) | Primary |
Provider Name | Juan Carlos Rondon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245284181 PECOS PAC ID: 2668457771 Enrollment ID: I20040623001455 |
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