| Team Alex Medical Llc | |
|
12542 Brookwood Ct Davie FL 33330-1208 | |
| (954) 740-3311 | |
| Not Available |
| Full Name | Team Alex Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12542 Brookwood Ct, Davie, Florida |
| Authorized Official Name and Position | Jorge Garcia (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 3056060337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Alex Medical Llc 12542 Brookwood Ct Davie FL 33330-1208 Ph: (954) 740-3311 | Team Alex Medical Llc 12542 Brookwood Ct Davie FL 33330-1208 Ph: (954) 740-3311 |
| NPI Number | 1750119236 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 3577004654 |
|---|---|
| Medicare Enrollment ID | O20240917000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750119236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexander Fong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659951275 PECOS PAC ID: 6305384637 Enrollment ID: I20240816002693 |
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