| Roxana Macdonald, LLC | |
|
250 Ne 51st St Ft Lauderdale FL 33334-1615 | |
| (954) 297-7050 | |
| Not Available |
| Full Name | Roxana Macdonald, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 250 Ne 51st St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Roxana Macdonald (PRESIDENT) |
| Authorized Official Contact | 9542977050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxana Macdonald, LLC 250 Ne 51st St Ft Lauderdale FL 33334-1615 Ph: (954) 297-7050 | Roxana Macdonald, LLC 250 Ne 51st St Ft Lauderdale FL 33334-1615 Ph: (954) 297-7050 |
| NPI Number | 1689143265 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689143265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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