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NPI Code Detail

MEDICARE: MIDLAND MEDICAL BROWARD LLC

MEDICARE: MIDLAND MEDICAL BROWARD 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
1207Q00000XFamily Medicine PhysicianOS9305FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17258838OTHERFLAETNA
297941OTHERFLBCBS
3170442OTHERFLHUMANA
42342763OTHERFLAETNA HMO

General Provider Information

NPI Number : 1447305339
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDLAND MEDICAL BROWARD LLC
Provider Business Mailing Address
First Line : 1421 E OAKLAND PARK BLVD STE 200
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33334-4434
Country : US
Telephone Number : 954-565-0875
Fax Number : 954-565-0876
Provider Business Practice Location Address
First Line : 1421 E OAKLAND PARK BLVD STE 200
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33334-4434
Country : US
Telephone Number : 954-565-0875
Fax Number : 954-565-0876
Authorized Official
Title or Position : DIRECTOR
Name : NOAH J LEE
Credential : DO
Telephone Number : 954-565-0875
Provider Enumeration Date : 01/24/2007
Last Update Date : 09/05/2023

Similar Medicare Providers

1376212050 — MR. STEVEN M CARDENAS APRN
Practice Location Address:
1421 E OAKLAND PARK BLVD STE 200
OAKLAND PARK, FL
33334-4434
Practice Phone: 954-565-0875
Practice Fax: 954-565-0876
1265403570 — JOHN R. JONES M.D.
Practice Location Address:
1421 E OAKLAND PARK BLVD , SUITE 101
OAKLAND PARK, FL
33334-4434
Practice Phone: 954-565-0875
Practice Fax: 954-565-0876
1932164787 — DANIEL M KASUBA PA
Practice Location Address:
1421 E OAKLAND PARK BLVD STE 200
OAKLAND PARK, FL
33334-4434
Practice Phone: 954-565-0875
Practice Fax: 954-565-0876
1275559106 — DR. NOAH LEE D.O.
Practice Location Address:
1421 E OAKLAND PARK BLVD , SUITE 101
OAKLAND PARK, FL
33334-4434
Practice Phone: 954-565-0875
Practice Fax: 954-565-0876
1396826160 — DR. KENNETH JOSEPH KAPLAN M.D.
Practice Location Address:
1421 E OAKLAND PARK BLVD STE 200
OAKLAND PARK, FL
33334-4434
Practice Phone: 954-565-0875
Practice Fax: 954-565-0876
1972704765 — TIMOTHY W MCDOWELL ANP
Practice Location Address:
1421 E OAKLAND PARK BLVD STE 200
OAKLAND PARK, FL
33334-4434
Practice Phone: 954-565-0875
Practice Fax: 954-565-0876

Directions to “MIDLAND MEDICAL BROWARD LLC ” Practice Location

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