| Memorial Division Of General Endocrinology | |
|
1150 N 35th Ave Ste 205a Hollywood FL 33021-5424 | |
| (954) 265-7550 | |
| (954) 265-7555 |
| Full Name | Memorial Division Of General Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1150 N 35th Ave Ste 205a, Hollywood, Florida |
| Authorized Official Name and Position | Esther Surujon (CFO MPG, MPC AND UCC) |
| Authorized Official Contact | 9542656677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Division Of General Endocrinology 2900 Corporate Way Door D Miramar FL 33025-3925 Ph: (954) 276-5685 | Memorial Division Of General Endocrinology 1150 N 35th Ave Ste 205a Hollywood FL 33021-5424 Ph: (954) 265-7550 |
| NPI Number | 1750756466 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 8123927373 |
|---|---|
| Medicare Enrollment ID | O20170206001591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750756466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Evana Valenzuela-scheker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649455742 PECOS PAC ID: 4183760580 Enrollment ID: I20091014000712 |
| Provider Name | Karen R Askari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528378155 PECOS PAC ID: 4789993304 Enrollment ID: I20151022000885 |
| Provider Name | Amy Aronovitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922292010 PECOS PAC ID: 8123195013 Enrollment ID: I20160809003291 |
| Provider Name | Seda Suvag |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316111206 PECOS PAC ID: 2466693668 Enrollment ID: I20170208000283 |
| Provider Name | Ivy Maureen Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339161 PECOS PAC ID: 0547547440 Enrollment ID: I20170502001498 |
| Provider Name | Toni P Lattibeaudiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558781906 PECOS PAC ID: 5395005490 Enrollment ID: I20180210000123 |
| Provider Name | Anna M Muir Fraker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548286784 PECOS PAC ID: 5294114088 Enrollment ID: I20220624001922 |
| Provider Name | Chelsea C Gordner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649486010 PECOS PAC ID: 2264576495 Enrollment ID: I20220827000344 |
| Provider Name | Ailyn Rivero |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427570704 PECOS PAC ID: 9638548878 Enrollment ID: I20221212000868 |
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