| Pembroke Pines Physicians Associates Inc | |
|
2240 Sw 70th Ave Ste D Davie FL 33317-7112 | |
| (954) 430-8000 | |
| (954) 212-0150 |
| Full Name | Pembroke Pines Physicians Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2240 Sw 70th Ave Ste D, Davie, Florida |
| Authorized Official Name and Position | Robert M Kustin (PRESIDENT) |
| Authorized Official Contact | 9544308000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Pines Physicians Associates Inc 2240 Sw 70th Ave Ste D Davie FL 33317-7112 Ph: (954) 430-8000 | Pembroke Pines Physicians Associates Inc 2240 Sw 70th Ave Ste D Davie FL 33317-7112 Ph: (954) 430-8000 |
| NPI Number | 1760546295 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 1355467598 |
|---|---|
| Medicare Enrollment ID | O20100925000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760546295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael P Calandrillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841419405 PECOS PAC ID: 7517946510 Enrollment ID: I20060110000268 |
| Provider Name | Robert Kustin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730185281 PECOS PAC ID: 7618093865 Enrollment ID: I20240430001228 |
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