| Priority Health Md Inc | |
|
9999 Sheridan St Ste 120 Hollywood FL 33024-3086 | |
| (954) 589-1198 | |
| Not Available |
| Full Name | Priority Health Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9999 Sheridan St Ste 120, Hollywood, Florida |
| Authorized Official Name and Position | Roberto Fernandez-blay (DIRECTOR) |
| Authorized Official Contact | 9548902524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health Md Inc 4765 Sw 148th Ave Davie FL 33330-2127 Ph: (954) 374-7545 | Priority Health Md Inc 9999 Sheridan St Ste 120 Hollywood FL 33024-3086 Ph: (954) 589-1198 |
| NPI Number | 1891447694 |
|---|---|
| Provider Enumeration Date | 01/23/2022 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 0244613784 |
|---|---|
| Medicare Enrollment ID | O20220817000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891447694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roberto C Fernandez Blay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205821352 PECOS PAC ID: 7810912474 Enrollment ID: I20051012000778 |
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