| |
2659 W Oakland Park Blvd Oakland Park FL 33311-1355 | |
(954) 735-6584 | |
(954) 735-6589 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2659 W Oakland Park Blvd, Oakland Park, Florida |
Authorized Official Name and Position | Denise L Fogaros Atler (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9547356584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2659 W Oakland Park Blvd Oakland Park FL 33311-1355 Ph: (954) 735-6584 | 2659 W Oakland Park Blvd Oakland Park FL 33311-1355 Ph: (954) 735-6584 |
NPI Number | 1831517473 |
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Provider Enumeration Date | 04/01/2014 |
Last Update Date | 04/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831517473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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