| Reliable Medical Services Llc | |
|
1597 S State Road 7 North Lauderdale FL 33068-4603 | |
| (754) 205-2374 | |
| (754) 205-7523 |
| Full Name | Reliable Medical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1597 S State Road 7, North Lauderdale, Florida |
| Authorized Official Name and Position | Rodrigo Vivas (CEO) |
| Authorized Official Contact | 7874617627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliable Medical Services Llc 1835 Chatham Village Dr Fleming Island FL 32003-8382 Ph: (904) 616-9916 | Reliable Medical Services Llc 1597 S State Road 7 North Lauderdale FL 33068-4603 Ph: (754) 205-2374 |
| NPI Number | 1881093367 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 6608176433 |
|---|---|
| Medicare Enrollment ID | O20151201001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881093367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ACN 337 (Florida) | Primary |
| Provider Name | Rodrigo Vivas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578598900 PECOS PAC ID: 1850345604 Enrollment ID: I20140116000710 |
| Provider Name | Andres B Ozual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184739336 PECOS PAC ID: 4880797265 Enrollment ID: I20140422001833 |
Celebrate Life Recovery Center Phase Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6043 Kimberly Blvd, Suite U, North Lauderdale, FL 33068 Phone: 954-951-6005 Fax: 954-951-6006 | |