Traditional Medicine Center | |
3898 W Commercial Blvd Tamarac FL 33309-3326 | |
(754) 444-8826 | |
(954) 856-2921 |
Full Name | Traditional Medicine Center |
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Speciality | Family Medicine |
Location | 3898 W Commercial Blvd, Tamarac, Florida |
Authorized Official Name and Position | Donald Coles (PRESIDENT) |
Authorized Official Contact | 9545935524 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Traditional Medicine Center 3898 W Commercial Blvd Tamarac FL 33309-3326 Ph: (754) 444-8826 | Traditional Medicine Center 3898 W Commercial Blvd Tamarac FL 33309-3326 Ph: (754) 444-8826 |
NPI Number | 1306210877 |
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Provider Enumeration Date | 11/21/2015 |
Last Update Date | 11/21/2015 |
Medicare PECOS PAC ID | 3476840661 |
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Medicare Enrollment ID | O20161003002411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306210877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PA9104805 (Florida) | Primary |
Provider Name | Marc H Jean Baptiste |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013928019 PECOS PAC ID: 5193770600 Enrollment ID: I20050606000221 |
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