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7326 Southgate Blvd N Lauderdale FL 33068-1427 | |
(954) 721-8707 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 7326 Southgate Blvd, N Lauderdale, Florida |
Authorized Official Name and Position | Wiqar Sheikh (PHYSICIAN) |
Authorized Official Contact | 9547218707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7326 Southgate Blvd N Lauderdale FL 33068-1427 Ph: (954) 721-8707 | 7326 Southgate Blvd N Lauderdale FL 33068-1427 Ph: (954) 721-8707 |
NPI Number | 1518206622 |
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Provider Enumeration Date | 02/08/2013 |
Last Update Date | 02/08/2013 |
Medicare PECOS PAC ID | 0749434967 |
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Medicare Enrollment ID | O20130215000370 |
Identifier | Type | State | Issuer |
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1518206622 | NPI | - | NPPES |
265564100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | ME79299 (Florida) | Primary |
Provider Name | Wiqar U Sheikh |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1891978334 PECOS PAC ID: 4082506928 Enrollment ID: I20040326000234 |