| M Angela Madden Llc | |
|
1130 Bayview Dr Fort Lauderdale FL 33304-2505 | |
| (954) 563-3158 | |
| (954) 563-5874 |
| Full Name | M Angela Madden Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1130 Bayview Dr, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Mary A Madden (DOCTOR) |
| Authorized Official Contact | 9545633158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Angela Madden Llc 1130 Bayview Dr Fort Lauderdale FL 33304-2505 Ph: (954) 563-3158 | M Angela Madden Llc 1130 Bayview Dr Fort Lauderdale FL 33304-2505 Ph: (954) 563-3158 |
| NPI Number | 1548515968 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 08/02/2012 |
| Medicare PECOS PAC ID | 7517114879 |
|---|---|
| Medicare Enrollment ID | O20120822000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548515968 | NPI | - | NPPES |
| 51661 | Other | FL | MEDICARE |
| 0463133 | Other | FL | AETNA |
| CK2070 | Other | GA | RAILROAD MEDICARE |
| 0001185 | Other | FL | AARP MEDICARE COMPLETE |
| F00219567801 | Other | NEIGHBORHOOD HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME79511 (Florida) | Primary |
| Provider Name | Mary A Madden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083720957 PECOS PAC ID: 4486790359 Enrollment ID: I20091008000677 |
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