| Foundation For Sickle Cell Disease Research | |
|
1685 S State Road 7 Unit 4 Hollywood FL 33023 | |
| (954) 397-3251 | |
| (954) 374-6320 |
| Full Name | Foundation For Sickle Cell Disease Research |
|---|---|
| Speciality | Internal Medicine |
| Location | 1685 S State Road 7, Hollywood, Florida |
| Authorized Official Name and Position | Lanetta Bronte-hall (PRESIDENT AND CEO) |
| Authorized Official Contact | 9543973251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation For Sickle Cell Disease Research 1685 S State Road 7 Unit 4 Hollywood FL 33023-3625 Ph: (954) 397-3251 | Foundation For Sickle Cell Disease Research 1685 S State Road 7 Unit 4 Hollywood FL 33023 Ph: (954) 397-3251 |
| NPI Number | 1053720243 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 5698091288 |
|---|---|
| Medicare Enrollment ID | O20150225001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053720243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony J Hall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093700346 PECOS PAC ID: 6103718713 Enrollment ID: I20040619000019 |
| Provider Name | Gershwin T Blyden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851344014 PECOS PAC ID: 3971792367 Enrollment ID: I20110124000250 |
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