Oakland Park Family Medicine, Llc | |
3101 N Federal Hwy Ste 610 Oakland Park FL 33306-1044 | |
(954) 565-9966 | |
(954) 565-0535 |
Full Name | Oakland Park Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 3101 N Federal Hwy Ste 610, Oakland Park, Florida |
Authorized Official Name and Position | Lauren A Salus (OWNER) |
Authorized Official Contact | 9542953507 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakland Park Family Medicine, Llc 3101 N Federal Hwy Ste 610 Oakland Park FL 33306-1044 Ph: (954) 565-9966 | Oakland Park Family Medicine, Llc 3101 N Federal Hwy Ste 610 Oakland Park FL 33306-1044 Ph: (954) 565-9966 |
NPI Number | 1457079279 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 08/27/2024 |
Medicare PECOS PAC ID | 6305213208 |
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Medicare Enrollment ID | O20221107000897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457079279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Irving Michael Bratt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669461687 PECOS PAC ID: 6103019534 Enrollment ID: I20101129000774 |
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