Rowan Tree Medical Pa | |
2500 Ne 15th Ave Wilton Manors FL 33305-1310 | |
(954) 533-5382 | |
Not Available |
Full Name | Rowan Tree Medical Pa |
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Speciality | Internal Medicine |
Location | 2500 Ne 15th Ave, Wilton Manors, Florida |
Authorized Official Name and Position | Myron Davidson (PRESIDENT) |
Authorized Official Contact | 3057664512 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rowan Tree Medical Pa 2500 Ne 15th Ave Wilton Manors FL 33305-1310 Ph: (954) 533-5382 | Rowan Tree Medical Pa 2500 Ne 15th Ave Wilton Manors FL 33305-1310 Ph: (954) 533-5382 |
NPI Number | 1568617165 |
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Provider Enumeration Date | 11/24/2008 |
Last Update Date | 10/05/2011 |
Medicare PECOS PAC ID | 8820148786 |
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Medicare Enrollment ID | O20090615000570 |
Identifier | Type | State | Issuer |
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1568617165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Myron G Davidson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821078841 PECOS PAC ID: 4385669019 Enrollment ID: I20051011000955 |
Provider Name | Jennifer C Bartczak |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275504284 PECOS PAC ID: 4789585860 Enrollment ID: I20060328000337 |
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