| St Croix Medical Group, Inc. | |
|
4010 Nw 34th St Lauderdale Lakes FL 33319-5721 | |
| (954) 486-7101 | |
| (954) 486-7102 |
| Full Name | St Croix Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4010 Nw 34th St, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Harry P Marcelin (PRESIDENT) |
| Authorized Official Contact | 9544867101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Croix Medical Group, Inc. 4010 Nw 34th St Lauderdale Lakes FL 33319-5721 Ph: (954) 486-7101 | St Croix Medical Group, Inc. 4010 Nw 34th St Lauderdale Lakes FL 33319-5721 Ph: (954) 486-7101 |
| NPI Number | 1346570546 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/27/2022 |
| Medicare PECOS PAC ID | 9335278498 |
|---|---|
| Medicare Enrollment ID | O20100527000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346570546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Yvrose Archange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902049216 PECOS PAC ID: 9830213677 Enrollment ID: I20100831000088 |
| Provider Name | Alain C Marcelin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831583707 PECOS PAC ID: 0648508549 Enrollment ID: I20190829002189 |
| Provider Name | Barnette Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780296772 PECOS PAC ID: 4587065263 Enrollment ID: I20210701002443 |
| Provider Name | Marvin L Marcelin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053835264 PECOS PAC ID: 5496088916 Enrollment ID: I20220308000457 |
| Provider Name | Natatcha Thony-laurore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265903082 PECOS PAC ID: 6507216066 Enrollment ID: I20231222003267 |
Family Practic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4699 N State Road 7, Suite B-2, Lauderdale Lakes, FL 33319 Phone: 954-486-1925 Fax: 954-486-1983 | |
University Health Care Lauderdale, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 209, Lauderdale Lakes, FL 33313 Phone: 786-248-5767 | |
Paul Esposito M.d. Facs Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W Oakland Park Blvd, 306, Lauderdale Lakes, FL 33313 Phone: 954-730-3309 Fax: 954-486-1079 | |
Henderson Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 N State Road 7 Bldg B, Lauderdale Lakes, FL 33319 Phone: 954-485-8888 Fax: 954-497-3856 | |
Higi Care Network (de), P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 N State Road 7 Ste 102, Lauderdale Lakes, FL 33319 Phone: 561-381-9258 | |
Rjm Medical Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3871 W Oakland Park Blvd, Lauderdale Lakes, FL 33311 Phone: 954-858-5717 Fax: 954-484-0530 | |
St. Anthony's Rehabilitation Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3487 Nw 30th St, Lauderdale Lakes, FL 33311 Phone: 954-739-6233 Fax: 954-485-4023 |