| Northstar Ppec Llc | |
|
3521 W Broward Blvd Ste 102 Lauderhill FL 33312-1028 | |
| (954) 530-9154 | |
| (954) 530-9147 |
| Full Name | Northstar Ppec Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3521 W Broward Blvd Ste 102, Lauderhill, Florida |
| Authorized Official Name and Position | Ana Alvarez (ADMINITRATOR) |
| Authorized Official Contact | 7547575005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Ppec Llc 3521 W Broward Blvd Ste 102 Lauderhill FL 33312-1028 Ph: (954) 530-9154 | Northstar Ppec Llc 3521 W Broward Blvd Ste 102 Lauderhill FL 33312-1028 Ph: (954) 530-9154 |
| NPI Number | 1558143768 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558143768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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