| Jcarriazo Md P.l.l.c. | |
|
2 S University Dr Plantation FL 33324-3355 | |
| (786) 564-1116 | |
| Not Available |
| Full Name | Jcarriazo Md P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2 S University Dr, Plantation, Florida |
| Authorized Official Name and Position | Jorge Carriazo Isasi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7863268080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcarriazo Md P.l.l.c. 14998 Sw 37th St Davie FL 33331-2747 Ph: (786) 564-1116 | Jcarriazo Md P.l.l.c. 2 S University Dr Plantation FL 33324-3355 Ph: (786) 564-1116 |
| NPI Number | 1215752225 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/15/2024 |
| Medicare PECOS PAC ID | 8921538042 |
|---|---|
| Medicare Enrollment ID | O20250205000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215752225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge Carriazo Isasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578805248 PECOS PAC ID: 2567750680 Enrollment ID: I20161005001498 |
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