| Univida Hallandale Medical Center Llc | |
|
2500 E Hallandale Beach Blvd Ste Qr Hallandale Beach FL 33009-4834 | |
| (954) 505-5009 | |
| (786) 677-0104 |
| Full Name | Univida Hallandale Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 E Hallandale Beach Blvd Ste Qr, Hallandale Beach, Florida |
| Authorized Official Name and Position | Hermann J Lange (SR MEM) |
| Authorized Official Contact | 9545055009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Univida Hallandale Medical Center Llc 2500 E Hallandale Beach Blvd Ste Qr Hallandale Beach FL 33009-4834 Ph: (954) 505-5009 | Univida Hallandale Medical Center Llc 2500 E Hallandale Beach Blvd Ste Qr Hallandale Beach FL 33009-4834 Ph: (954) 505-5009 |
| NPI Number | 1366015042 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 5193117307 |
|---|---|
| Medicare Enrollment ID | O20220120002347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366015042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruben Bembibre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689962672 PECOS PAC ID: 7911206479 Enrollment ID: I20160527000388 |
| Provider Name | Douglas Edward Aguirre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376516880 PECOS PAC ID: 0244323616 Enrollment ID: I20160815001462 |
| Provider Name | Sergio Hernandez Borges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043600414 PECOS PAC ID: 7012203458 Enrollment ID: I20161119000046 |
| Provider Name | Thomas A Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306782 PECOS PAC ID: 8729452271 Enrollment ID: I20230323001156 |
| Provider Name | Douglas Edward Aguirre |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376516880 PECOS PAC ID: 0244323616 Enrollment ID: I20241112001036 |
| Provider Name | Ariel Amador Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154195766 PECOS PAC ID: 6800316688 Enrollment ID: I20250224002124 |
Maribel Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Ne 1st Ave, Hallandale Beach, FL 33009 Phone: 786-319-8123 | |
Fall Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 E Hallandale Beach Blvd Ste 301, Hallandale Beach, FL 33009 Phone: 954-455-2132 | |
Muscle Specific Pain Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 W Hallandale Beach Blvd Ste 108, Hallandale Beach, FL 33009 Phone: 305-290-1440 | |
Personal Physician Management Group Of Hallandale, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 E Hallandale Beach Blvd, Suite # 307, Hallandale Beach, FL 33009 Phone: 954-454-9055 Fax: 954-454-9890 | |
All Points Acupuncture Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 E Hallandale Beach Blvd, Hallandale Beach, FL 33009 Phone: 305-200-9939 | |
Barry M. Blumenthal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 E Hallandale Beach Blvd, Suite 1005, Hallandale Beach, FL 33009 Phone: 954-416-2021 | |
Salei Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2100 E Hallandale Beach Blvd Ste 302, Hallandale Beach, FL 33009 Phone: 954-998-3990 Fax: 518-263-0113 |