| I D Consultants | |
|
4420 Sheridan St A Hollywood FL 33021-3552 | |
| (954) 962-0040 | |
| (954) 962-7901 |
| Full Name | I D Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 4420 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Roger Daniel Spitzer (PRESIDENT) |
| Authorized Official Contact | 9549620040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I D Consultants 4420 Sheridan St A Hollywood FL 33021-3552 Ph: (954) 962-0040 | I D Consultants 4420 Sheridan St A Hollywood FL 33021-3552 Ph: (954) 962-0040 |
| NPI Number | 1194724302 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3870546849 |
|---|---|
| Medicare Enrollment ID | O20050302000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194724302 | NPI | - | NPPES |
| 257131500 | Medicaid | FL | |
| 38720 | Other | FL | BCBSOF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Florida) | Primary |
| Provider Name | Philip A Finlay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538168828 PECOS PAC ID: 7719930783 Enrollment ID: I20050302000353 |
| Provider Name | Roger D Spitzer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275533705 PECOS PAC ID: 4789637760 Enrollment ID: I20111202000507 |
| Provider Name | Gustavo A Batista |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578710174 PECOS PAC ID: 5496891236 Enrollment ID: I20160108002203 |
| Provider Name | Marisol Albuerne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548575715 PECOS PAC ID: 1759518137 Enrollment ID: I20170221001813 |
| Provider Name | Jose A Stoute |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275691925 PECOS PAC ID: 8224197215 Enrollment ID: I20210216000339 |
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