| Suhail A.masudi, M.d, Pa | |
|
10111 W Forest Hill Blvd Ste. # 268 Wellington FL 33414-6108 | |
| (561) 586-0881 | |
| (561) 586-0166 |
| Full Name | Suhail A.masudi, M.d, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10111 W Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Suhail Masudi (OWNER) |
| Authorized Official Contact | 5615860881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suhail A.masudi, M.d, Pa 10111 W Forest Hill Blvd Ste. # 268 Wellington FL 33414-6108 Ph: (561) 586-0881 | Suhail A.masudi, M.d, Pa 10111 W Forest Hill Blvd Ste. # 268 Wellington FL 33414-6108 Ph: (561) 586-0881 |
| NPI Number | 1508010695 |
|---|---|
| Provider Enumeration Date | 11/16/2008 |
| Last Update Date | 11/16/2008 |
| Medicare PECOS PAC ID | 6002965662 |
|---|---|
| Medicare Enrollment ID | O20090601000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508010695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME86182 (Florida) | Primary |
| Provider Name | Suhail Masudi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649206525 PECOS PAC ID: 9931258597 Enrollment ID: I20090601000450 |
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