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76 E Mcnab Rd Pompano Beach FL 33060-9238 | |
| (954) 544-8024 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 76 E Mcnab Rd, Pompano Beach, Florida |
| Authorized Official Name and Position | Magalie Pierre (NP) |
| Authorized Official Contact | 9545448024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
76 E Mcnab Rd Pompano Beach FL 33060-9238 Ph: (954) 544-8024 | 76 E Mcnab Rd Pompano Beach FL 33060-9238 Ph: (954) 544-8024 |
| NPI Number | 1912756545 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 10/24/2024 |
| Medicare PECOS PAC ID | 3779019583 |
|---|---|
| Medicare Enrollment ID | O20241203004535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912756545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Carine M Porfiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841377520 PECOS PAC ID: 5294033015 Enrollment ID: I20160412001323 |
| Provider Name | Magalie Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040778 PECOS PAC ID: 7810315215 Enrollment ID: I20200917000403 |
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