| Primary Medical Care Center Of Miramar Inc | |
|
2412 N State Road 7 Lauderdale Lakes FL 33313-3724 | |
| (954) 289-0000 | |
| Not Available |
| Full Name | Primary Medical Care Center Of Miramar Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2412 N State Road 7, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Prinston Jean-glaude (PRESIDENT) |
| Authorized Official Contact | 9542890000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Care Center Of Miramar Inc 2412 N State Road 7 Lauderdale Lakes FL 33313-3724 Ph: (954) 289-0000 | Primary Medical Care Center Of Miramar Inc 2412 N State Road 7 Lauderdale Lakes FL 33313-3724 Ph: (954) 289-0000 |
| NPI Number | 1831645654 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 4385172295 |
|---|---|
| Medicare Enrollment ID | O20250106002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831645654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jean B Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255769246 PECOS PAC ID: 0941427082 Enrollment ID: I20140813000816 |
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Higi Care Network (de), P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 N State Road 7 Ste 102, Lauderdale Lakes, FL 33319 Phone: 561-381-9258 | |
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