| Speciality Care Internal Medicine And Geriatrics P A | |
|
9423 Aston Gardens Ct Parkland FL 33076-4101 | |
| (954) 651-7723 | |
| Not Available |
| Full Name | Speciality Care Internal Medicine And Geriatrics P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 9423 Aston Gardens Ct, Parkland, Florida |
| Authorized Official Name and Position | Joseph C Hadeed (OWNER) |
| Authorized Official Contact | 9546517723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speciality Care Internal Medicine And Geriatrics P A 7170 Nw 63rd Way Parkland FL 33067-1447 Ph: () - | Speciality Care Internal Medicine And Geriatrics P A 9423 Aston Gardens Ct Parkland FL 33076-4101 Ph: (954) 651-7723 |
| NPI Number | 1831436229 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 03/19/2013 |
| Medicare PECOS PAC ID | 7719122977 |
|---|---|
| Medicare Enrollment ID | O20130319000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831436229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph C Hadeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912999061 PECOS PAC ID: 8325947054 Enrollment ID: I20090211000833 |
| Provider Name | Ashley Rose Raley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595016 PECOS PAC ID: 2163730003 Enrollment ID: I20180424002228 |
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