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NPI Code Detail

MEDICARE: DR. JEFFREY BISHOP & ASSOCIATES, LLC

MEDICARE: DR. JEFFREY BISHOP & ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1407208705
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. JEFFREY BISHOP & ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 300 W SUNRISE BLVD
Second Line : #3
City : FORT LAUDERDALE
State : FL
Zip : 33311-6263
Country : US
Telephone Number : 754-234-0155
Fax Number :
Provider Business Practice Location Address
First Line : 300 W SUNRISE BLVD
Second Line : #3
City : FORT LAUDERDALE
State : FL
Zip : 33311-6263
Country : US
Telephone Number : 754-234-0155
Fax Number :
Authorized Official
Title or Position : MNGR
Name : RICHARD STERNE
Credential : ARNP
Telephone Number : 754-234-0155
Provider Enumeration Date : 07/11/2016
Last Update Date : 07/11/2016

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Directions to “DR. JEFFREY BISHOP & ASSOCIATES, LLC ” Practice Location

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