| Morris Antzelevitch, Md Pa | |
|
7351 W Oakland Park Blvd Suite 105 Tamarac FL 33319-7107 | |
| (954) 572-0100 | |
| (954) 572-4378 |
| Full Name | Morris Antzelevitch, Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7351 W Oakland Park Blvd, Tamarac, Florida |
| Authorized Official Name and Position | Morris Antzelevitch (PRESIDENT) |
| Authorized Official Contact | 9545750100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Antzelevitch, Md Pa 7351 W Oakland Park Blvd Suite 105 Tamarac FL 33319-7107 Ph: (954) 572-0100 | Morris Antzelevitch, Md Pa 7351 W Oakland Park Blvd Suite 105 Tamarac FL 33319-7107 Ph: (954) 572-0100 |
| NPI Number | 1831431683 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831431683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME34285 (Florida) | Primary |
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