| Dr Julio C Vijil Jr, MD, MPH | |
|
1733 N University Dr, Plantation, FL 33322-4111 | |
| (954) 247-2168 | |
| (877) 582-3859 |
| Full Name | Dr Julio C Vijil Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1733 N University Dr, Plantation, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114030673 | NPI | - | NPPES |
| 001064100 | Medicaid | FL | |
| 1114030673 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 036109508 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | ME87467 (Florida) | Primary |
| Entity Name | Premium Healthcare Holdings, Lllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518587203 PECOS PAC ID: 7315320207 Enrollment ID: O20220809004021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julio C Vijil Jr, MD, MPH 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (954) 986-9008 | Dr Julio C Vijil Jr, MD, MPH 1733 N University Dr, Plantation, FL 33322-4111 Ph: (954) 247-2168 |
Dr. Hussein Al Dabbagh, MD Nephrology Medicare: Medicare Enrolled Practice Location: 8201 W Broward Blvd, Plantation, FL 33324 Phone: 954-829-0639 | |
Mr. Ajaib S Mann Sr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1806 North Pine Island Rd, Plantation, FL 33322 Phone: 954-474-0110 Fax: 954-424-9859 | |
Dr. Gerardo S. Lanes, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 140 Sw 84th Ave, Suite C, Plantation, FL 33324 Phone: 954-476-9350 Fax: 954-476-2446 | |
Dr. Mohammed I Baig, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4100 S Hospital Dr, Ste 300, Plantation, FL 33317 Phone: 954-797-0601 Fax: 954-797-1466 | |
Allen Robert Sklaver, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 7353 Nw 4th St, Plantation, FL 33317 Phone: 954-584-6320 Fax: 954-587-2166 | |
Zachary Kornblum, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4101 Nw 4th St Ste 411, Plantation, FL 33317 Phone: 954-932-9300 | |
Cesar Ochoa Perez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1228 S Pine Island Rd Ste 410, Plantation, FL 33324 Phone: 954-837-1490 Fax: 954-837-1188 |