| |
2450 Ne 13th Ave Wilton Manors FL 33305-1304 | |
(954) 537-8898 | |
(954) 916-7205 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2450 Ne 13th Ave, Wilton Manors, Florida |
Authorized Official Name and Position | Andreu J Macandrew Richardson (PRESIDENT) |
Authorized Official Contact | 3057858898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2450 Ne 13th Ave Wilton Manors FL 33305-1304 Ph: (954) 537-8898 | 2450 Ne 13th Ave Wilton Manors FL 33305-1304 Ph: (954) 537-8898 |
NPI Number | 1235433590 |
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Provider Enumeration Date | 12/30/2010 |
Last Update Date | 12/30/2010 |
Identifier | Type | State | Issuer |
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1235433590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | CH 9030 (Florida) | Primary |
Karl S Brot Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1749 Ne 26th St, Suite E, Wilton Manors, FL 33305 Phone: 954-565-3838 Fax: 954-565-3893 | |
Physio Rehab Consulting, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1881 Ne 26th St, Suite 101, Wilton Manors, FL 33305 Phone: 954-821-0271 | |