| East Hollywood Medical Associates, Inc. | |
|
2219 Hollywood Blvd Ste 101 Hollywood FL 33020-6760 | |
| (954) 926-2900 | |
| (954) 926-2956 |
| Full Name | East Hollywood Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2219 Hollywood Blvd Ste 101, Hollywood, Florida |
| Authorized Official Name and Position | Manuel Iribar (PRESIDENT) |
| Authorized Official Contact | 9549262900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Hollywood Medical Associates, Inc. 2219 Hollywood Blvd Ste 101 Hollywood FL 33020-6760 Ph: (954) 926-2900 | East Hollywood Medical Associates, Inc. 2219 Hollywood Blvd Ste 101 Hollywood FL 33020-6760 Ph: (954) 926-2900 |
| NPI Number | 1174718704 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 11/14/2019 |
| Medicare PECOS PAC ID | 3870717689 |
|---|---|
| Medicare Enrollment ID | O20140618001137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174718704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME0041495 (Florida) | Primary |
| Provider Name | Manuel R Iribar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730171125 PECOS PAC ID: 9032266721 Enrollment ID: I20140618001277 |
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