| Pmc West Oakland Park Llc | |
|
8397 W Oakland Park Blvd Sunrise FL 33351-7307 | |
| (954) 741-5000 | |
| (954) 741-1177 |
| Full Name | Pmc West Oakland Park Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8397 W Oakland Park Blvd, Sunrise, Florida |
| Authorized Official Name and Position | Spencer Angel (MANAGING MEMBER) |
| Authorized Official Contact | 3052551355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmc West Oakland Park Llc 8397 W Oakland Park Blvd Sunrise FL 33351-7307 Ph: (954) 741-5000 | Pmc West Oakland Park Llc 8397 W Oakland Park Blvd Sunrise FL 33351-7307 Ph: (954) 741-5000 |
| NPI Number | 1679753206 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 11/18/2008 |
| Medicare PECOS PAC ID | 3971668203 |
|---|---|
| Medicare Enrollment ID | O20090219000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679753206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Michael Ehrenman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679522395 PECOS PAC ID: 8022173350 Enrollment ID: I20090219000445 |
| Provider Name | Glenda Y Buyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841467883 PECOS PAC ID: 0941367262 Enrollment ID: I20160201002720 |
| Provider Name | Barbara Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578005765 PECOS PAC ID: 9537418223 Enrollment ID: I20180813003302 |
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