| Medical Associates Of Tamarac Pa | |
|
7875 W Commercial Blvd Tamarac FL 33351-4353 | |
| (954) 726-0099 | |
| (954) 726-0047 |
| Full Name | Medical Associates Of Tamarac Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7875 W Commercial Blvd, Tamarac, Florida |
| Authorized Official Name and Position | Everold Esmile Haffizulla (PRESIDENT) |
| Authorized Official Contact | 9547260099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Tamarac Pa 7875 W Commercial Blvd Tamarac FL 33351-4353 Ph: (954) 726-0099 | Medical Associates Of Tamarac Pa 7875 W Commercial Blvd Tamarac FL 33351-4353 Ph: (954) 726-0099 |
| NPI Number | 1760554844 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/24/2013 |
| Medicare PECOS PAC ID | 1658434949 |
|---|---|
| Medicare Enrollment ID | O20090113000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760554844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Everold Haffizulla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215009386 PECOS PAC ID: 7810050101 Enrollment ID: I20100626000108 |
| Provider Name | Nigam H Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184796260 PECOS PAC ID: 0143351239 Enrollment ID: I20100707000147 |
| Provider Name | Jason M Haffizulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033281191 PECOS PAC ID: 3173686466 Enrollment ID: I20100715000930 |
| Provider Name | Kristin D Chai |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114241007 PECOS PAC ID: 5597071308 Enrollment ID: I20150824002636 |
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