| St. George Spinal Clinic Pa | |
|
4469 N State Road 7 Lauderdale Lakes FL 33319-5876 | |
| (954) 486-1966 | |
| (954) 486-9115 |
| Full Name | St. George Spinal Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4469 N State Road 7, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Wagdy B. Tadros (PHYSICIAN) |
| Authorized Official Contact | 9544861966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. George Spinal Clinic Pa Po Box 10693 Riviera Beach FL 33419-0693 Ph: (954) 486-1966 | St. George Spinal Clinic Pa 4469 N State Road 7 Lauderdale Lakes FL 33319-5876 Ph: (954) 486-1966 |
| NPI Number | 1609898683 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/26/2011 |
| Medicare PECOS PAC ID | 9830151596 |
|---|---|
| Medicare Enrollment ID | O20041103001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609898683 | NPI | - | NPPES |
| 2621902 | Other | FL | AETNA |
| 25940 | Other | FL | BCBS ID |
| 234955 | Other | FL | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME65248 (Florida) | Primary |
| Provider Name | Wagdy B Tadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114952413 PECOS PAC ID: 5496731275 Enrollment ID: I20041104000793 |
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 |