| Medical Center International Inc | |
|
5810 Sheridan St Hollywood FL 33021-3244 | |
| (305) 780-0009 | |
| Not Available |
| Full Name | Medical Center International Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5810 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Wilson Izquierdo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9542512381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center International Inc 5810 Sheridan St Hollywood FL 33021-3244 Ph: (954) 251-2381 | Medical Center International Inc 5810 Sheridan St Hollywood FL 33021-3244 Ph: (305) 780-0009 |
| NPI Number | 1467041715 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
| Medicare PECOS PAC ID | 3971917816 |
|---|---|
| Medicare Enrollment ID | O20210204000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467041715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wilson Izquierdo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396998944 PECOS PAC ID: 0941465561 Enrollment ID: I20210204000506 |
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