| Matthew M Hendricks, PA-C | |
|
2838 E. Oakland Park Boulevard, S. 201, Fort Lauderdale, FL 33306 | |
| (954) 564-0040 | |
| (954) 217-3222 |
| Full Name | Matthew M Hendricks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2838 E. Oakland Park Boulevard, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033684873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9111716 (* (Not Available)) | Primary |
| Entity Name | Leavitt Medical Associates of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Entity Name | South Florida Surgical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952409963 PECOS PAC ID: 5799881660 Enrollment ID: O20070509000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew M Hendricks, PA-C 2838 E. Oakland Park Boulevard, S. 201, Fort Lauderdale, FL 33306 Ph: (954) 564-0040 | Matthew M Hendricks, PA-C 2838 E. Oakland Park Boulevard, S. 201, Fort Lauderdale, FL 33306 Ph: (954) 564-0040 |
Tito Velasquez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304 Phone: 312-833-1183 |
Miss Kathy Ann Zimmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308 Phone: 954-267-8777 Fax: 954-772-7801 |
Jean L Tolson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308 Phone: 954-267-8777 Fax: 954-772-7801 |
Mrs. Ameeta Rana Kumar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Commercial Blvd, Fort Lauderdale, FL 33334 Phone: 954-351-0202 |
Neal Hodges Fouke, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ocean Blvd Ste C101, Fort Lauderdale, FL 33308 Phone: 754-270-6322 |
Karly Jean Marie Turgeon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6000 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-2551 |
Esther Zimmerman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6550 N Federal Hwy Ste 320, Fort Lauderdale, FL 33308 Phone: 954-500-7546 |