| N/a | |
|
1401 N University Dr Ste 305 Coral Springs FL 33071-6088 | |
| (561) 849-4810 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 N University Dr Ste 305, Coral Springs, Florida |
| Authorized Official Name and Position | Maria Perea (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2018952091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 1401 N University Dr Ste 305 Coral Springs FL 33071-6088 Ph: (561) 849-4810 | N/a 1401 N University Dr Ste 305 Coral Springs FL 33071-6088 Ph: (561) 849-4810 |
| NPI Number | 1679319008 |
|---|---|
| Provider Enumeration Date | 07/04/2024 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Medicare PECOS PAC ID | 5799224333 |
|---|---|
| Medicare Enrollment ID | O20240828000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679319008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Maria S Perea Barbosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528286127 PECOS PAC ID: 4183779804 Enrollment ID: I20180817001826 |
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