New Hope Medical Group Llc | |
4301 W Sunrise Blvd Plantation FL 33313-6749 | |
(954) 514-7712 | |
(954) 533-5193 |
Full Name | New Hope Medical Group Llc |
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Speciality | Internal Medicine |
Location | 4301 W Sunrise Blvd, Plantation, Florida |
Authorized Official Name and Position | Arold Joseph Augustin (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 9545147712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Hope Medical Group Llc 4301 W Sunrise Blvd Plantation FL 33313-6749 Ph: (954) 514-7712 | New Hope Medical Group Llc 4301 W Sunrise Blvd Plantation FL 33313-6749 Ph: (954) 514-7712 |
NPI Number | 1366722845 |
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Provider Enumeration Date | 08/28/2011 |
Last Update Date | 02/08/2012 |
Medicare PECOS PAC ID | 4183881139 |
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Medicare Enrollment ID | O20120203000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366722845 | NPI | - | NPPES |
261450200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME72155 (Florida) | Primary |
Provider Name | Arold J Augustin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336244698 PECOS PAC ID: 6800796590 Enrollment ID: I20040109000718 |
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