| Memorial Division Of Medicine | |
|
3341 Johnson St Hollywood FL 33021 | |
| (954) 844-9080 | |
| (954) 844-9081 |
| Full Name | Memorial Division Of Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3341 Johnson St, Hollywood, Florida |
| Authorized Official Name and Position | Esther Surujon (CFO MPG, UCC AND MPC) |
| Authorized Official Contact | 9542656677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Division Of Medicine 2900 Corporate Way Door D Miramar FL 33025-3925 Ph: (954) 276-5685 | Memorial Division Of Medicine 3341 Johnson St Hollywood FL 33021 Ph: (954) 844-9080 |
| NPI Number | 1740655455 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 8123927373 |
|---|---|
| Medicare Enrollment ID | O20160119002682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740655455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Je-anne Beaufort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104869726 PECOS PAC ID: 1557330016 Enrollment ID: I20040930000817 |
| Provider Name | Scott L Oxenhandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306880562 PECOS PAC ID: 0840250197 Enrollment ID: I20041012001069 |
| Provider Name | Lloyd H Potter Melendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578586905 PECOS PAC ID: 6608818109 Enrollment ID: I20050525000344 |
| Provider Name | Jorge G Ruiz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184650087 PECOS PAC ID: 1153518840 Enrollment ID: I20101207000844 |
| Provider Name | Christopher G Ramsaran |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417158759 PECOS PAC ID: 4183899354 Enrollment ID: I20111216000377 |
| Provider Name | Catherine Elizabeth Levinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619274891 PECOS PAC ID: 6204102981 Enrollment ID: I20171024003394 |
| Provider Name | Nga Van Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245626621 PECOS PAC ID: 2365787348 Enrollment ID: I20181219001595 |
| Provider Name | Karla A Smith-lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184823577 PECOS PAC ID: 9133216757 Enrollment ID: I20230822002126 |
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