| Primary Care Practitioners And Associates | |
|
102 Ne 2nd Ave Hallandale Beach FL 33009-4212 | |
| (954) 894-0522 | |
| (954) 964-1244 |
| Full Name | Primary Care Practitioners And Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Ne 2nd Ave, Hallandale Beach, Florida |
| Authorized Official Name and Position | Ivory Joe Christen (OWNER) |
| Authorized Official Contact | 9548940522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Practitioners And Associates 102 Ne 2nd Ave Hallandale Beach FL 33009-4212 Ph: (954) 894-0522 | Primary Care Practitioners And Associates 102 Ne 2nd Ave Hallandale Beach FL 33009-4212 Ph: (954) 894-0522 |
| NPI Number | 1790739100 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790739100 | NPI | - | NPPES |
| 254320600 | Medicaid | FL | |
| 207Q00000X | Other | FL | TAXONOMIES |
| Y21701 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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