Medflorida Hospitalists Llc | |
3889 Military Trl Ste 104 Jupiter FL 33458-2923 | |
(561) 406-6080 | |
(561) 406-6073 |
Full Name | Medflorida Hospitalists Llc |
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Speciality | Internal Medicine |
Location | 3889 Military Trl Ste 104, Jupiter, Florida |
Authorized Official Name and Position | Mazin Shikara (CEO) |
Authorized Official Contact | 5617791652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Medflorida Hospitalists Llc Po Box 4189 Deerfield Beach FL 33442-4189 Ph: (954) 363-9582 | Medflorida Hospitalists Llc 3889 Military Trl Ste 104 Jupiter FL 33458-2923 Ph: (561) 406-6080 |
NPI Number | 1144763772 |
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Provider Enumeration Date | 11/30/2016 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 3971887399 |
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Medicare Enrollment ID | O20170303000404 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144763772 | NPI | - | NPPES |
019598200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | ME94252 (Florida) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Mazin M Shikara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316967912 PECOS PAC ID: 0143237800 Enrollment ID: I20060321000622 |
Provider Name | Freddy Avni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972706729 PECOS PAC ID: 8921292095 Enrollment ID: I20101129000534 |
Provider Name | Yervant A Khatcherian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104823350 PECOS PAC ID: 0941499339 Enrollment ID: I20110118000143 |
Provider Name | Dana Schnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780191551 PECOS PAC ID: 9032472634 Enrollment ID: I20180412002009 |
Provider Name | Christine Lynne Holderman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518441278 PECOS PAC ID: 1153657184 Enrollment ID: I20190729000858 |
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