| Medical Providers Of South Florida, Inc. | |
|
12401 Orange Dr Suite 132 Davie FL 33330-4341 | |
| (954) 862-1762 | |
| Not Available |
| Full Name | Medical Providers Of South Florida, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 12401 Orange Dr, Davie, Florida |
| Authorized Official Name and Position | Leona Barnes (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9548621762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Providers Of South Florida, Inc. 12401 Orange Dr Suite 132 Davie FL 33330-4341 Ph: (954) 862-1762 | Medical Providers Of South Florida, Inc. 12401 Orange Dr Suite 132 Davie FL 33330-4341 Ph: (954) 862-1762 |
| NPI Number | 1336471457 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336471457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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