| Priority Health Center Corp | |
|
4800 Ne 20th Ter Ste 211d Fort Lauderdale FL 33308-4510 | |
| (954) 438-4015 | |
| Not Available |
| Full Name | Priority Health Center Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 4800 Ne 20th Ter Ste 211d, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Yasim Montenegro (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9549347053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health Center Corp 4800 Ne 20th Ter Ste 211d Fort Lauderdale FL 33308-4510 Ph: () - | Priority Health Center Corp 4800 Ne 20th Ter Ste 211d Fort Lauderdale FL 33308-4510 Ph: (954) 438-4015 |
| NPI Number | 1679195713 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 3274942867 |
|---|---|
| Medicare Enrollment ID | O20210512000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679195713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aldo Guevara Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316276116 PECOS PAC ID: 0446438204 Enrollment ID: I20110624000549 |
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