| Broward Medical Associates Of South Florida,inc | |
|
7390 Nw 5th St Suite 3 Plantation FL 33317-1610 | |
| (954) 424-9300 | |
| (954) 424-3315 |
| Full Name | Broward Medical Associates Of South Florida,inc |
|---|---|
| Speciality | General Practice |
| Location | 7390 Nw 5th St, Plantation, Florida |
| Authorized Official Name and Position | Michael Rudolf Alexander (DIRECTOR) |
| Authorized Official Contact | 9544249300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Medical Associates Of South Florida,inc 7390 Nw 5th St Suite 3 Plantation FL 33317-1610 Ph: (954) 424-9300 | Broward Medical Associates Of South Florida,inc 7390 Nw 5th St Suite 3 Plantation FL 33317-1610 Ph: (954) 424-9300 |
| NPI Number | 1568619880 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 02/06/2020 |
| Medicare PECOS PAC ID | 3678630290 |
|---|---|
| Medicare Enrollment ID | O20090326000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568619880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME40710 (Florida) | Primary |
| Provider Name | Michael R Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467440842 PECOS PAC ID: 4385626860 Enrollment ID: I20040607001307 |
| Provider Name | Vicky Ann Stone Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871590521 PECOS PAC ID: 5092881748 Enrollment ID: I20080904000387 |
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