| Laura Bernal, PA-C | |
|
1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | |
| (954) 265-5324 | |
| Not Available |
| Full Name | Laura Bernal |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1005 Joe Dimaggio Dr, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457131260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9117993 (Florida) | Primary |
| Entity Name | South Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164911764 PECOS PAC ID: 8123927373 Enrollment ID: O20190425002659 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Bernal, PA-C 3300 S University Dr, Ft Lauderdale, FL 33328-2004 Ph: Not Available | Laura Bernal, PA-C 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 Ph: (954) 265-5324 |
Raul Martinez Osorio Sr., PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5512 Mayo St, Hollywood, FL 33021 Phone: 305-588-0720 |
Ms. Emily Ann Miloro, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1005 Joe Dimaggio Dr, Hollywood, FL 33021 Phone: 954-265-5324 Fax: 954-265-1615 |
Austin Horner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 600, Hollywood, FL 33021 Phone: 954-265-5969 Fax: 954-965-3599 |
Melanie Mishkin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3149 Arbor Ln, Hollywood, FL 33021 Phone: 305-785-4977 Fax: 305-785-4977 |
Louis Carlisle, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 440, Hollywood, FL 33021 Phone: 954-987-2020 Fax: 954-987-2953 |
Maria Magdalena Belean, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4030 Sheridan St Ste C, Hollywood, FL 33021 Phone: 954-961-7500 Fax: 954-964-8965 |
Andres Martinez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4801 Hollywood Blvd Ste B, Hollywood, FL 33021 Phone: 954-927-5905 |