| Priority Health 770 Inc | |
|
7130 Nw 45th Ct Lauderhill FL 33319-4066 | |
| (239) 200-1716 | |
| Not Available |
| Full Name | Priority Health 770 Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7130 Nw 45th Ct, Lauderhill, Florida |
| Authorized Official Name and Position | Adayah S Almaral (NP) |
| Authorized Official Contact | 2392001716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health 770 Inc 7130 Nw 45th Ct Lauderhill FL 33319-4066 Ph: () - | Priority Health 770 Inc 7130 Nw 45th Ct Lauderhill FL 33319-4066 Ph: (239) 200-1716 |
| NPI Number | 1245836055 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Medicare PECOS PAC ID | 4082027701 |
|---|---|
| Medicare Enrollment ID | O20210119000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245836055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Adayah S Almaral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245862630 PECOS PAC ID: 4385071240 Enrollment ID: I20200305001880 |
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