| Intracoastal Medical Primary Health Care, Inc | |
|
935 Intracoastal Dr Suite 1 Fort Lauderdale FL 33304-3623 | |
| (954) 561-6252 | |
| (954) 530-7516 |
| Full Name | Intracoastal Medical Primary Health Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 935 Intracoastal Dr, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Harish Chowdary (DPST) |
| Authorized Official Contact | 7863024902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intracoastal Medical Primary Health Care, Inc 935 Intracoastal Dr Suite 1 Fort Lauderdale FL 33304-3623 Ph: (954) 561-6252 | Intracoastal Medical Primary Health Care, Inc 935 Intracoastal Dr Suite 1 Fort Lauderdale FL 33304-3623 Ph: (954) 561-6252 |
| NPI Number | 1861752784 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 06/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861752784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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