| Simplymade Medicine Llc | |
|
1785 N Andrews Sq Apt 209e Ft Lauderdale FL 33311-4844 | |
| (903) 330-9131 | |
| Not Available |
| Full Name | Simplymade Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 1785 N Andrews Sq Apt 209e, Ft Lauderdale, Florida |
| Authorized Official Name and Position | James Pinotti (MEDICAL DOCTOR) |
| Authorized Official Contact | 9033309131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simplymade Medicine Llc 1785 N Andrews Sq Apt 209e Ft Lauderdale FL 33311-4844 Ph: (903) 330-9131 | Simplymade Medicine Llc 1785 N Andrews Sq Apt 209e Ft Lauderdale FL 33311-4844 Ph: (903) 330-9131 |
| NPI Number | 1710744321 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 7012355787 |
|---|---|
| Medicare Enrollment ID | O20240401003440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710744321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | James A Pinotti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477181956 PECOS PAC ID: 8921446691 Enrollment ID: I20240401003449 |
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