| Mudasiru A Carew Do Pa | |
|
12600 Pembroke Rd Ste 204 Miramar FL 33027-2544 | |
| (954) 987-6276 | |
| (954) 430-5800 |
| Full Name | Mudasiru A Carew Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12600 Pembroke Rd, Miramar, Florida |
| Authorized Official Name and Position | Mudasiru Adegbola Carew (OWNER) |
| Authorized Official Contact | 9549876276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mudasiru A Carew Do Pa 12600 Pembroke Road Ste 204 Miramar FL 33027 Ph: (954) 987-6276 | Mudasiru A Carew Do Pa 12600 Pembroke Rd Ste 204 Miramar FL 33027-2544 Ph: (954) 987-6276 |
| NPI Number | 1790957173 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 01/07/2015 |
| Medicare PECOS PAC ID | 6507853702 |
|---|---|
| Medicare Enrollment ID | O20040429000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790957173 | NPI | - | NPPES |
| 006WC | Other | FL | BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mudasiru A Carew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487610044 PECOS PAC ID: 7810984010 Enrollment ID: I20040430000968 |
| Provider Name | Danica S Carew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962889824 PECOS PAC ID: 1951616440 Enrollment ID: I20181206002156 |
| Provider Name | Rodney Howard Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831723790 PECOS PAC ID: 2860882636 Enrollment ID: I20211209002528 |
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