| |
806 Ne 44th St Oakland Park FL 33334-3131 | |
(954) 563-9876 | |
(954) 563-3670 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 806 Ne 44th St, Oakland Park, Florida |
Authorized Official Name and Position | Ricardo R Reyes (MEDICAL DIRECTOR) |
Authorized Official Contact | 9545639876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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806 Ne 44th St Oakland Park FL 33334-3131 Ph: (954) 563-9876 | 806 Ne 44th St Oakland Park FL 33334-3131 Ph: (954) 563-9876 |
NPI Number | 1568769230 |
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Provider Enumeration Date | 02/16/2011 |
Last Update Date | 02/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568769230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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