| Michael A Flicker Do Pa | |
|
9633 W Broward Blvd Suite #6 Plantation FL 33324-2332 | |
| (954) 835-0005 | |
| (954) 472-8271 |
| Full Name | Michael A Flicker Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9633 W Broward Blvd, Plantation, Florida |
| Authorized Official Name and Position | Michael A Flicker (PRESIDENT) |
| Authorized Official Contact | 9548350005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Flicker Do Pa 9633 W Broward Blvd Suite #6 Plantation FL 33324-2332 Ph: (954) 835-0005 | Michael A Flicker Do Pa 9633 W Broward Blvd Suite #6 Plantation FL 33324-2332 Ph: (954) 835-0005 |
| NPI Number | 1184709016 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 3870594831 |
|---|---|
| Medicare Enrollment ID | O20070118000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184709016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS5264 (Florida) | Primary |
| Provider Name | Michael A Flicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265419709 PECOS PAC ID: 1355364381 Enrollment ID: I20060105000336 |
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