| South Florida Family Health And Research Center Plantation And Lice S | |
|
6971 W Sunrise Blvd Suite 102 Plantation FL 33313-4407 | |
| (954) 791-0711 | |
| (954) 791-4392 |
| Full Name | South Florida Family Health And Research Center Plantation And Lice S |
|---|---|
| Speciality | Clinic/Center |
| Location | 6971 W Sunrise Blvd, Plantation, Florida |
| Authorized Official Name and Position | Nancy Bernard (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9547910711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Family Health And Research Center Plantation And Lice S 6971 W Sunrise Blvd Suite 102 Plantation FL 33313-4407 Ph: (954) 791-0711 | South Florida Family Health And Research Center Plantation And Lice S 6971 W Sunrise Blvd Suite 102 Plantation FL 33313-4407 Ph: (954) 791-0711 |
| NPI Number | 1861844227 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 08/06/2019 |
| Medicare PECOS PAC ID | 9436486479 |
|---|---|
| Medicare Enrollment ID | O20190813003015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861844227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nancy Pyram Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538107115 PECOS PAC ID: 0042279689 Enrollment ID: I20041008000084 |
| Provider Name | James Walter Lofton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275840 PECOS PAC ID: 2264863315 Enrollment ID: I20200506000491 |
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