| Prestige Physicians Llc | |
|
4701 N Federal Hwy Ste A21 Ft Lauderdale FL 33308-4608 | |
| (954) 770-0611 | |
| (954) 491-3930 |
| Full Name | Prestige Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4701 N Federal Hwy Ste A21, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Kira Fenton (PRESIDENT) |
| Authorized Official Contact | 9547710611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Physicians Llc 4701 N Federal Hwy Ste A21 Ft Lauderdale FL 33308-4608 Ph: (954) 770-0611 | Prestige Physicians Llc 4701 N Federal Hwy Ste A21 Ft Lauderdale FL 33308-4608 Ph: (954) 770-0611 |
| NPI Number | 1699217281 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 2769748920 |
|---|---|
| Medicare Enrollment ID | O20171106000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699217281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS11016 (Florida) | Primary |
| 207R00000X | Internal Medicine | OS11264 (Florida) | Secondary |
| Provider Name | Cristina E Savu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437448867 PECOS PAC ID: 8426227133 Enrollment ID: I20110815000804 |
| Provider Name | Kira Fenton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740579945 PECOS PAC ID: 7113249640 Enrollment ID: I20141211000698 |
| Provider Name | Ashley Danielle Baldyga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336710821 PECOS PAC ID: 2163828492 Enrollment ID: I20210927000996 |
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