| Dr Melinda B Hierholzer, DO | |
|
9611 W Broward Blvd, Plantation, FL 33324-2334 | |
| (954) 924-7000 | |
| Not Available |
| Full Name | Dr Melinda B Hierholzer |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9611 W Broward Blvd, 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 |
|---|---|---|---|
| 1669641692 | NPI | - | NPPES |
| 14F0W | Other | FL | BCBS OF FLORIDA |
| 003743100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS11250 (Florida) | Primary |
| 208000000X | Pediatrics | OT12341 (Pennsylvania) | Secondary |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melinda B Hierholzer, DO 700 8th Ave W Ste 101, Palmetto, FL 34221-4737 Ph: (941) 776-4000 | Dr Melinda B Hierholzer, DO 9611 W Broward Blvd, Plantation, FL 33324-2334 Ph: (954) 924-7000 |
Shanna Stephen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 | |
Dr. Joseph Wirth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10179 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-475-2290 Fax: 954-475-2275 | |
Joanna M Allison, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 Fax: 954-424-7000 | |
Dr. Angela Mary-riad Samuel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 | |
Oneilia Brooks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-424-7000 Fax: 954-424-6003 | |
Shirley Campbell-mogg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4101 Nw 4th Street, Suite 200, Plantation, FL 33317 Phone: 954-791-5420 Fax: 954-791-5950 | |
Dr. Mostafa El Ghissassi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9611 W Broward Blvd, Plantation, FL 33324 Phone: 954-924-7000 |