Pcp Of Lauderdale Lakes | |
4900 W Oakland Park Blvd North Bld Suite 301 Lauderdale Lakes FL 33313-7500 | |
(954) 484-4154 | |
Not Available |
Full Name | Pcp Of Lauderdale Lakes |
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Speciality | Family Medicine |
Location | 4900 W Oakland Park Blvd, Lauderdale Lakes, Florida |
Authorized Official Name and Position | Peter Anzalone (DIRECTOR) |
Authorized Official Contact | 9543186590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pcp Of Lauderdale Lakes 4900 W Oakland Park Blvd North Bld Suite 301 Lauderdale Lakes FL 33313-7500 Ph: (954) 484-4154 | Pcp Of Lauderdale Lakes 4900 W Oakland Park Blvd North Bld Suite 301 Lauderdale Lakes FL 33313-7500 Ph: (954) 484-4154 |
NPI Number | 1710016860 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710016860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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