Priority Health Md Inc | |
9999 Sheridan St Ste 120 Hollywood FL 33024-3086 | |
(954) 589-1198 | |
Not Available |
Full Name | Priority Health Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 9999 Sheridan St Ste 120, Hollywood, Florida |
Authorized Official Name and Position | Roberto Fernandez-blay (DIRECTOR) |
Authorized Official Contact | 9548902524 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Priority Health Md Inc 4765 Sw 148th Ave Davie FL 33330-2127 Ph: (954) 374-7545 | Priority Health Md Inc 9999 Sheridan St Ste 120 Hollywood FL 33024-3086 Ph: (954) 589-1198 |
NPI Number | 1891447694 |
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Provider Enumeration Date | 01/23/2022 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 0244613784 |
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Medicare Enrollment ID | O20220817000748 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891447694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Roberto C Fernandez Blay |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205821352 PECOS PAC ID: 7810912474 Enrollment ID: I20051012000778 |
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