| Westgate Medical Center, Inc | |
|
15814 W State Road 84 Sunrise FL 33326-1227 | |
| (954) 384-7200 | |
| (954) 389-9019 |
| Full Name | Westgate Medical Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15814 W State Road 84, Sunrise, Florida |
| Authorized Official Name and Position | Nina Joy Pearlmutter (OWNER/PRESIDENT) |
| Authorized Official Contact | 9543847200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westgate Medical Center, Inc 15814 W State Road 84 Sunrise FL 33326-1227 Ph: (954) 384-7200 | Westgate Medical Center, Inc 15814 W State Road 84 Sunrise FL 33326-1227 Ph: (954) 384-7200 |
| NPI Number | 1730435751 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 07/27/2012 |
| Medicare PECOS PAC ID | 8628225455 |
|---|---|
| Medicare Enrollment ID | O20120829000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730435751 | NPI | - | NPPES |
| 160624900 | Other | US DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME034447 (Florida) | Primary |
| Provider Name | Nina J Pearlmutter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205870185 PECOS PAC ID: 0749187185 Enrollment ID: I20031215000702 |
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