| Etelmed MD Network | |
|
5489 Wiles Rd Suite 302 Coconut Creek FL 33073-4220 | |
| (954) 917-7144 | |
| Not Available |
| Full Name | Etelmed MD Network |
|---|---|
| Speciality | Family Medicine |
| Location | 5489 Wiles Rd, Coconut Creek, Florida |
| Authorized Official Name and Position | Lancelot James (CEO) |
| Authorized Official Contact | 9549177144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etelmed MD Network 5489 Wiles Rd Suite 302 Coconut Creek FL 33073-4220 Ph: (954) 917-7144 | Etelmed MD Network 5489 Wiles Rd Suite 302 Coconut Creek FL 33073-4220 Ph: (954) 917-7144 |
| NPI Number | 1841688462 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841688462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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