| South Florida Medical Clinics Association Inc | |
|
6301 Pembroke Rd Hollywood FL 33023-2217 | |
| (954) 961-8394 | |
| (954) 241-0445 |
| Full Name | South Florida Medical Clinics Association Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6301 Pembroke Rd, Hollywood, Florida |
| Authorized Official Name and Position | Armando E Roca (PRESIDENT) |
| Authorized Official Contact | 9549618394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Medical Clinics Association Inc 6301 Pembroke Rd Hollywood FL 33023-2217 Ph: (954) 961-8394 | South Florida Medical Clinics Association Inc 6301 Pembroke Rd Hollywood FL 33023-2217 Ph: (954) 961-8394 |
| NPI Number | 1881691848 |
|---|---|
| Provider Enumeration Date | 07/06/2005 |
| Last Update Date | 05/24/2012 |
| Medicare PECOS PAC ID | 0941465157 |
|---|---|
| Medicare Enrollment ID | O20120712000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881691848 | NPI | - | NPPES |
| 060067900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N/A (Florida) | Primary |
| Provider Name | Armando Roca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073511754 PECOS PAC ID: 9830354042 Enrollment ID: I20120712000704 |
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