| Traditional Medicine Center | |
|
3898 W Commercial Blvd Tamarac FL 33309-3326 | |
| (754) 444-8826 | |
| Not Available |
| Full Name | Traditional Medicine Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3898 W Commercial Blvd, Tamarac, Florida |
| Authorized Official Name and Position | Donald Coles (PRESIDENT) |
| Authorized Official Contact | 9545935524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditional Medicine Center 7961 Nw 4th Pl Plantation FL 33324-1950 Ph: (754) 444-8826 | Traditional Medicine Center 3898 W Commercial Blvd Tamarac FL 33309-3326 Ph: (754) 444-8826 |
| NPI Number | 1205295821 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205295821 | NPI | - | NPPES |
| B2150Y | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | AP1506 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | PA9104805 (Florida) | Primary |
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