Vincent Pianelli, M.d. | |
935 Intracoastal Drive Fort Lauderdale FL 33304 | |
(954) 522-8561 | |
(954) 522-6602 |
Full Name | Vincent Pianelli, M.d. |
---|---|
Speciality | Internal Medicine |
Location | 935 Intracoastal Drive, Fort Lauderdale, Florida |
Authorized Official Name and Position | George G Boctor (OWNER) |
Authorized Official Contact | 9547761180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vincent Pianelli, M.d. Po Box 23158 Fort Lauderdale FL 33307-3158 Ph: (954) 522-8561 | Vincent Pianelli, M.d. 935 Intracoastal Drive Fort Lauderdale FL 33304 Ph: (954) 522-8561 |
NPI Number | 1194979963 |
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Provider Enumeration Date | 11/06/2008 |
Last Update Date | 04/25/2023 |
Medicare PECOS PAC ID | 0648336453 |
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Medicare Enrollment ID | O20090323000090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194979963 | NPI | - | NPPES |
048950600 | Medicaid | FL | |
06830 | Other | FL | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0014100 (Florida) | Primary |
Provider Name | Vincent Pianelli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669498697 PECOS PAC ID: 4789786088 Enrollment ID: I20070216000155 |
Provider Name | Lilliam M Garcia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023218328 PECOS PAC ID: 0143306969 Enrollment ID: I20080319000461 |
Provider Name | Chelsia M Binns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972842029 PECOS PAC ID: 2567757016 Enrollment ID: I20160823000528 |
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