| Village Medical Center, Llc. | |
|
13400 Sw 10th St Pembroke Pines FL 33027-1833 | |
| (954) 900-1466 | |
| (954) 900-1553 |
| Full Name | Village Medical Center, Llc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13400 Sw 10th St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Joshua Allan Ruskin (CEO/FINANCE) |
| Authorized Official Contact | 9549001466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Medical Center, Llc. 13400 Sw 10th St Pembroke Pines FL 33027-1833 Ph: (954) 900-1466 | Village Medical Center, Llc. 13400 Sw 10th St Pembroke Pines FL 33027-1833 Ph: (954) 900-1466 |
| NPI Number | 1033716279 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 08/13/2021 |
| Medicare PECOS PAC ID | 9830508852 |
|---|---|
| Medicare Enrollment ID | O20210504001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033716279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Rodolfo Hanabergh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003859315 PECOS PAC ID: 2365417607 Enrollment ID: I20040901000068 |
| Provider Name | Felipe De Jesus Gascon-rodon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265747232 PECOS PAC ID: 2062641442 Enrollment ID: I20140205000689 |
| Provider Name | Ines Maria Braceras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164485231 PECOS PAC ID: 6002884699 Enrollment ID: I20230915000116 |
Elitehealth Primary Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Palm Ave Ste 109, Pembroke Pines, FL 33026 Phone: 954-432-1511 Fax: 954-432-5195 | |
Advanced Healing Options, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12251 Taft St, 303, Pembroke Pines, FL 33026 Phone: 954-549-6580 Fax: 954-322-1421 | |
Rp And Associates Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2301 N University Dr, Suite 112, Pembroke Pines, FL 33024 Phone: 786-262-0631 Fax: 954-628-3801 | |
Leighton Lugg Properties Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8431 Nw 38th St, Pembroke Pines, FL 33024 Phone: 954-204-0632 | |
Amda Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 N Flamingo Rd, Pembroke Pines, FL 33028 Phone: 954-437-6660 Fax: 954-239-3902 | |
South Broward Medical Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17890 Nw 2nd St, Pembroke Pines, FL 33029 Phone: 954-442-6090 | |
Physicians Partnership Alliance, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024 Phone: 954-251-1175 Fax: 786-732-0460 |