| Bdg Medical Service Llc | |
|
7611 Sw 78th Ct Miami FL 33143-4029 | |
| (305) 439-1287 | |
| Not Available |
| Full Name | Bdg Medical Service Llc |
|---|---|
| Speciality | General Practice |
| Location | 7611 Sw 78th Ct, Miami, Florida |
| Authorized Official Name and Position | Bahjat Ghanem (PRESIDENT) |
| Authorized Official Contact | 3054391287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bdg Medical Service Llc 7611 Sw 78th Ct Miami FL 33143-4029 Ph: (305) 439-1287 | Bdg Medical Service Llc 7611 Sw 78th Ct Miami FL 33143-4029 Ph: (305) 439-1287 |
| NPI Number | 1730546458 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730546458 | NPI | - | NPPES |
| 373630000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME 66087 (Florida) | Primary |
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