| Primary Care Medical Services | |
|
10000 Stirling Rd Suite 3 Hollywood FL 33024-8067 | |
| (954) 517-9166 | |
| (954) 517-9167 |
| Full Name | Primary Care Medical Services |
|---|---|
| Speciality | Pediatrics |
| Location | 10000 Stirling Rd, Hollywood, Florida |
| Authorized Official Name and Position | Marie-alice Lara (VICE PRESIDENTD) |
| Authorized Official Contact | 9545179166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Medical Services Po Box 848127 Pembroke Pines FL 33084-0127 Ph: (954) 517-9166 | Primary Care Medical Services 10000 Stirling Rd Suite 3 Hollywood FL 33024-8067 Ph: (954) 517-9166 |
| NPI Number | 1750418299 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750418299 | NPI | - | NPPES |
| 74888 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME69293 (Florida) | Primary |
| 208000000X | Pediatrics | ME79139 (Florida) | Primary |
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