| Holy Cross Senior Services Inc | |
|
4725 N Federal Hwy Fort Lauderdale FL 33308-4603 | |
| (954) 771-8000 | |
| (954) 492-5741 |
| Full Name | Holy Cross Senior Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4725 N Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Ronald C Brandenburg (CFO) |
| Authorized Official Contact | 9547763012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Cross Senior Services Inc 4875 N Federal Hwy Fl 10 Fort Lauderdale FL 33308-4610 Ph: (954) 229-8501 | Holy Cross Senior Services Inc 4725 N Federal Hwy Fort Lauderdale FL 33308-4603 Ph: (954) 771-8000 |
| NPI Number | 1073089629 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 4183950801 |
|---|---|
| Medicare Enrollment ID | O20190801001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073089629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Cornelius H Scannell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912963281 PECOS PAC ID: 7810931680 Enrollment ID: I20050613000906 |
| Provider Name | Anibal Loza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932319738 PECOS PAC ID: 3072689298 Enrollment ID: I20080911000301 |
| Provider Name | Howard S Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003872375 PECOS PAC ID: 2567364771 Enrollment ID: I20100721000705 |
| Provider Name | Jonathan Perwien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720196322 PECOS PAC ID: 1153590724 Enrollment ID: I20110816000800 |
| Provider Name | Lorraine R Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962884874 PECOS PAC ID: 1456616960 Enrollment ID: I20180605001146 |
| Provider Name | Alexandre D Sintow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336535673 PECOS PAC ID: 1355688094 Enrollment ID: I20190204000458 |
| Provider Name | Joy Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154996320 PECOS PAC ID: 5193129336 Enrollment ID: I20210810001529 |
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