| Manor Medical Center Inc. | |
|
1000 Nw 10th Ave Fort Lauderdale FL 33311-6137 | |
| (954) 728-9200 | |
| (954) 728-8660 |
| Full Name | Manor Medical Center Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Nw 10th Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Yves Michel Antoine Jodesty (MEDICAL DOCTOR) |
| Authorized Official Contact | 9547289200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Medical Center Inc. 1040 Nw 10th Ave Fort Lauderdale FL 33311-6101 Ph: (954) 728-9200 | Manor Medical Center Inc. 1000 Nw 10th Ave Fort Lauderdale FL 33311-6137 Ph: (954) 728-9200 |
| NPI Number | 1114228368 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 5698949691 |
|---|---|
| Medicare Enrollment ID | O20111130000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114228368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME49891 (Florida) | Primary |
| Provider Name | Yves M Jodesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093877631 PECOS PAC ID: 1850565854 Enrollment ID: I20111215000838 |
| Provider Name | Yves Jodesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801258140 PECOS PAC ID: 4284973454 Enrollment ID: I20200407002791 |
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