| Maxine E Hamilton Mdpa | |
|
1330 Se 4th Ave Suite B Fort Lauderdale FL 33316-1958 | |
| (954) 463-3804 | |
| (954) 463-3805 |
| Full Name | Maxine E Hamilton Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1330 Se 4th Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Maxine E Hamilton (PRESIDENT) |
| Authorized Official Contact | 9544633804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine E Hamilton Mdpa 1330 Se 4th Ave Suite B Fort Lauderdale FL 33316-1958 Ph: (954) 463-3804 | Maxine E Hamilton Mdpa 1330 Se 4th Ave Suite B Fort Lauderdale FL 33316-1958 Ph: (954) 463-3804 |
| NPI Number | 1912921693 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912921693 | NPI | - | NPPES |
| 370218900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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