| Ms Taea Hall, | |
|
168 N Powerline Rd, Pompano Beach, FL 33069-5713 | |
| (954) 970-8805 | |
| Not Available |
| Full Name | Ms Taea Hall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 168 N Powerline Rd, Pompano Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538774971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11002936 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broward Community And Family Health Centers Inc | 9032170345 | 17 |
| Entity Name | Broward Community and Family Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730121435 PECOS PAC ID: 9032170345 Enrollment ID: O20041020000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Taea Hall, 168 N Powerline Rd, Pompano Beach, FL 33069-5713 Ph: (954) 970-8805 | Ms Taea Hall, 168 N Powerline Rd, Pompano Beach, FL 33069-5713 Ph: (954) 970-8805 |
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