| Rowan Tree Medical Pa | |
|
2500 Ne 15th Ave Wilton Manors FL 33305-1310 | |
| (954) 533-5382 | |
| Not Available |
| Full Name | Rowan Tree Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Ne 15th Ave, Wilton Manors, Florida |
| Authorized Official Name and Position | Myron Davidson (PRESIDENT) |
| Authorized Official Contact | 3057664512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowan Tree Medical Pa 2500 Ne 15th Ave Wilton Manors FL 33305-1310 Ph: (954) 533-5382 | Rowan Tree Medical Pa 2500 Ne 15th Ave Wilton Manors FL 33305-1310 Ph: (954) 533-5382 |
| NPI Number | 1568617165 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 10/05/2011 |
| Medicare PECOS PAC ID | 8820148786 |
|---|---|
| Medicare Enrollment ID | O20090615000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568617165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Myron G Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821078841 PECOS PAC ID: 4385669019 Enrollment ID: I20051011000955 |
| Provider Name | Jennifer C Bartczak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275504284 PECOS PAC ID: 4789585860 Enrollment ID: I20060328000337 |
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