| Smd Medservices Llc | |
|
201 Nw 82nd Ave 305 Plantation FL 33324-2401 | |
| (786) 314-1318 | |
| Not Available |
| Full Name | Smd Medservices Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Nw 82nd Ave 305, Plantation, Florida |
| Authorized Official Name and Position | Giezy Sardinas (OWNER) |
| Authorized Official Contact | 7863141318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smd Medservices Llc 4148 Sw 130th Ave Davie FL 33330-4716 Ph: () - | Smd Medservices Llc 201 Nw 82nd Ave 305 Plantation FL 33324-2401 Ph: (786) 314-1318 |
| NPI Number | 1548817562 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 4385070929 |
|---|---|
| Medicare Enrollment ID | O20200130001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548817562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daily V Ybargollin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558665992 PECOS PAC ID: 3072784040 Enrollment ID: I20110922000755 |
| Provider Name | Giezy Sardinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760794556 PECOS PAC ID: 1254565286 Enrollment ID: I20131007001340 |
| Provider Name | Ingrid H Cervera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275149338 PECOS PAC ID: 2365862679 Enrollment ID: I20201026000523 |
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