| Medflorida Hospitalists Llc | |
|
3889 Military Trl Ste 104 Jupiter FL 33458-2923 | |
| (561) 406-6080 | |
| (561) 406-6073 |
| Full Name | Medflorida Hospitalists Llc |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 3971887399 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316967912 PECOS PAC ID: 0143237800 Enrollment ID: I20060321000622 |
| Provider Name | Freddy Avni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972706729 PECOS PAC ID: 8921292095 Enrollment ID: I20101129000534 |
| Provider Name | Yervant A Khatcherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104823350 PECOS PAC ID: 0941499339 Enrollment ID: I20110118000143 |
| Provider Name | Dana Schnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780191551 PECOS PAC ID: 9032472634 Enrollment ID: I20180412002009 |
| Provider Name | Christine Lynne Holderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518441278 PECOS PAC ID: 1153657184 Enrollment ID: I20190729000858 |
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