| Medical Specialists Of South Florida | |
|
4960 N Pine Island Rd Sunrise FL 33351-5314 | |
| (561) 931-3941 | |
| (561) 961-4412 |
| Full Name | Medical Specialists Of South Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 4960 N Pine Island Rd, Sunrise, Florida |
| Authorized Official Name and Position | Rodolfo Guevara (OWNER) |
| Authorized Official Contact | 3133036152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Specialists Of South Florida 4960 N Pine Island Rd Sunrise FL 33351-5314 Ph: (561) 931-3941 | Medical Specialists Of South Florida 4960 N Pine Island Rd Sunrise FL 33351-5314 Ph: (561) 931-3941 |
| NPI Number | 1437542313 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 3971813387 |
|---|---|
| Medicare Enrollment ID | O20151113000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437542313 | NPI | - | NPPES |
| 00214900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rodolfo V Guevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437368552 PECOS PAC ID: 2668547662 Enrollment ID: I20080826000130 |
| Provider Name | Judi M Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347693 PECOS PAC ID: 3476726332 Enrollment ID: I20111109000634 |
| Provider Name | Tatiana M Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821508243 PECOS PAC ID: 3870853096 Enrollment ID: I20180208001936 |
| Provider Name | Joseph A Bornstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643465 PECOS PAC ID: 6204173933 Enrollment ID: I20190204000269 |
| Provider Name | Cristie Guerra Bermudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669986741 PECOS PAC ID: 1254664345 Enrollment ID: I20190604002732 |
| Provider Name | Yaser Hamwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114049475 PECOS PAC ID: 8123173515 Enrollment ID: I20200218002961 |
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