| 121 Medical Center Llc | |
|
3333 W Commercial Blvd Ste 110 Fort Lauderdale FL 33309-3407 | |
| (954) 530-9770 | |
| Not Available |
| Full Name | 121 Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3333 W Commercial Blvd Ste 110, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Rosny Simeon (MANAGER) |
| Authorized Official Contact | 5617931475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 121 Medical Center Llc 11903 Southern Blvd Ste 108 Royal Palm Beach FL 33411-7644 Ph: (561) 793-1475 | 121 Medical Center Llc 3333 W Commercial Blvd Ste 110 Fort Lauderdale FL 33309-3407 Ph: (954) 530-9770 |
| NPI Number | 1982384814 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982384814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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