Yolanda Bacon-green Md Pa | |
601 N Flamingo Rd Suite 306 Pembroke Pines FL 33028-1015 | |
(954) 450-0558 | |
(954) 450-2438 |
Full Name | Yolanda Bacon-green Md Pa |
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Speciality | Family Medicine |
Location | 601 N Flamingo Rd, Pembroke Pines, Florida |
Authorized Official Name and Position | Yolanda Bacon-green (PRESIDENT) |
Authorized Official Contact | 9544500558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Yolanda Bacon-green Md Pa Po Box 268116 Weston FL 33326-8116 Ph: (954) 450-0558 | Yolanda Bacon-green Md Pa 601 N Flamingo Rd Suite 306 Pembroke Pines FL 33028-1015 Ph: (954) 450-0558 |
NPI Number | 1750422317 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750422317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0044617 (Florida) | Primary |
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Amda Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-437-6660 Fax: 954-239-3902 | |
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