| Broward Community And Family Health Centers Inc | |
|
1295 Nw 40th Ave #200 Lauderhill FL 33313 | |
| (954) 583-4710 | |
| (954) 583-4711 |
| Full Name | Broward Community And Family Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1295 Nw 40th Ave, Lauderhill, Florida |
| Authorized Official Name and Position | Rosalyn Frazier (PRESIDENT/CEO) |
| Authorized Official Contact | 3059670028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Community And Family Health Centers Inc 5010 Hollywood Blvd 100b Hollywood FL 33021-6557 Ph: (954) 967-0028 | Broward Community And Family Health Centers Inc 1295 Nw 40th Ave #200 Lauderhill FL 33313 Ph: (954) 583-4710 |
| NPI Number | 1013345149 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 9032170345 |
|---|---|
| Medicare Enrollment ID | O20140327000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013345149 | NPI | - | NPPES |
| 680027106 | Medicaid | FL | |
| 680027107 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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