| Ibiza Nevares, MD | |
|
7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319 | |
| (954) 578-2292 | |
| (954) 578-2330 |
| Full Name | Ibiza Nevares |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7100 W Commercial Blvd, Lauderhill, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659340693 | NPI | - | NPPES |
| 263726 | Other | FL | AMED |
| 263797900 | Medicaid | FL | |
| 41618A | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME71574 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Integrated Rehab Consultants Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245700244 PECOS PAC ID: 4486997426 Enrollment ID: O20190515001526 |
| Mailing Address | Practice Location Address |
|---|---|
| Ibiza Nevares, MD 7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319 Ph: (954) 578-2292 | Ibiza Nevares, MD 7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319 Ph: (954) 578-2292 |
Aaron L Ellentuck, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4988 N University Dr, Lauderhill, FL 33351 Phone: 954-746-7230 Fax: 954-746-7350 | |
Michelle Ruiz Mina, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4300 Rock Island Rd, Lauderhill, FL 33319 Phone: 954-485-6144 Fax: 954-485-6406 |