| Amca Medical Services Inc | |
|
1610 Sheridan St Hollywood FL 33020-2306 | |
| (954) 922-7400 | |
| (954) 925-1327 |
| Full Name | Amca Medical Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1610 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Selly Wolkov (OFFICER/DIRECTOR) |
| Authorized Official Contact | 9549227400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amca Medical Services Inc 1610 Sheridan St Hollywood FL 33020-2306 Ph: (954) 922-7400 | Amca Medical Services Inc 1610 Sheridan St Hollywood FL 33020-2306 Ph: (954) 922-7400 |
| NPI Number | 1497068472 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 0547453938 |
|---|---|
| Medicare Enrollment ID | O20101018000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497068472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0051678 (Florida) | Primary |
| Provider Name | Selly Wolkov |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407959836 PECOS PAC ID: 6002881463 Enrollment ID: I20040830000329 |
| Provider Name | Giovanna A Baldarrago |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265633994 PECOS PAC ID: 8921435041 Enrollment ID: I20200228002235 |
| Provider Name | Diana Nicole Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700475613 PECOS PAC ID: 2365838026 Enrollment ID: I20220405001825 |
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