| South Florida Internal Medicine Pllc | |
|
911 E Oakland Park Blvd Oakland Park FL 33334-2725 | |
| (954) 800-0931 | |
| (954) 800-0931 |
| Full Name | South Florida Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 911 E Oakland Park Blvd, Oakland Park, Florida |
| Authorized Official Name and Position | Viraj V Tirmal (MANAGER) |
| Authorized Official Contact | 9548000931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Internal Medicine Pllc P.o. Box 24696 Fort Lauderdale FL 33307 Ph: (954) 800-0931 | South Florida Internal Medicine Pllc 911 E Oakland Park Blvd Oakland Park FL 33334-2725 Ph: (954) 800-0931 |
| NPI Number | 1659757755 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 2860793700 |
|---|---|
| Medicare Enrollment ID | O20151217001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659757755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME102836 (Florida) | Primary |
| 208M00000X | Hospitalist | ME102836 (Florida) | Secondary |
| Provider Name | Viraj V Tirmal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164608568 PECOS PAC ID: 8921168550 Enrollment ID: I20081126000496 |
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