S&c Medical Services Corp | |
9211 W Broward Blvd Plantation FL 33324-2401 | |
(786) 286-0068 | |
Not Available |
Full Name | S&c Medical Services Corp |
---|---|
Speciality | Internal Medicine |
Location | 9211 W Broward Blvd, Plantation, Florida |
Authorized Official Name and Position | Carlos A Lopez (OWNER) |
Authorized Official Contact | 7862860068 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S&c Medical Services Corp 1901 Bayview Dr Ft Lauderdale FL 33305-3627 Ph: (786) 286-0068 | S&c Medical Services Corp 9211 W Broward Blvd Plantation FL 33324-2401 Ph: (786) 286-0068 |
NPI Number | 1700434560 |
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Provider Enumeration Date | 08/26/2019 |
Last Update Date | 09/03/2019 |
Medicare PECOS PAC ID | 1557795903 |
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Medicare Enrollment ID | O20191218001762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700434560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Daily V Ybargollin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558665992 PECOS PAC ID: 3072784040 Enrollment ID: I20110922000755 |
Provider Name | Carlos A Lopez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669863189 PECOS PAC ID: 5991090383 Enrollment ID: I20160824001869 |
Provider Name | Ingrid H Cervera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275149338 PECOS PAC ID: 2365862679 Enrollment ID: I20201026000523 |
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