| Dr Alix Lanoue, MD | |
|
11011 Sheridan St, Suite 109, Cooper City, FL 33026-1505 | |
| (954) 961-8400 | |
| (954) 961-8401 |
| Full Name | Dr Alix Lanoue |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 11011 Sheridan St, Cooper City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598766099 | NPI | - | NPPES |
| 267879900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME86925 (Florida) | Primary |
| Entity Name | Gastro Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487767133 PECOS PAC ID: 2365440567 Enrollment ID: O20061127000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alix Lanoue, MD 4700 Sheridan St, Suite M, Hollywood, FL 33021-3420 Ph: (954) 961-8400 | Dr Alix Lanoue, MD 11011 Sheridan St, Suite 109, Cooper City, FL 33026-1505 Ph: (954) 961-8400 |
Dr. Pablo Alejandro Quintela, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 11011 Sheridan Street, Suite 302, Cooper City, FL 33026 Phone: 954-437-1500 Fax: 954-437-0136 | |
Dr. John B Hylton, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 12323 Sw 55 St, Ste 1003, Cooper City, FL 33330 Phone: 954-252-0083 Fax: 954-252-0207 | |
Dr. Jeffrey Bruce Kaner, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11011 Sheridan St, Suite 109, Cooper City, FL 33026 Phone: 954-961-8400 Fax: 954-961-8401 | |
Dr. Aleyda M Borge, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5500 South Flamingo Road, Suite 204, Cooper City, FL 33330 Phone: 954-252-8797 | |
Dr. David Scott Weiss, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 11011 Sheridan St, Suite 109, Cooper City, FL 33026 Phone: 954-961-8400 Fax: 954-961-8401 |