DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHOICE ONE MEDICAL GROUP LLC

MEDICARE: CHOICE ONE MEDICAL GROUP 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
2302F00000XExclusive Provider OrganizationFL
3171W00000XContractor

General Provider Information

NPI Number : 1508172206
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICE ONE MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : 49 N FEDERAL HWY
Second Line : STE 350
City : POMPANO BEACH
State : FL
Zip : 33062-4304
Country : US
Telephone Number : 954-703-6065
Fax Number : 561-828-3372
Provider Business Practice Location Address
First Line : 511 NE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-3235
Country : US
Telephone Number : 954-903-0468
Fax Number : 561-828-3372
Authorized Official
Title or Position : VP OPERATIONS & NETWORK MNGT
Name : MARY C MARTINEZ
Credential :
Telephone Number : 954-703-6065
Provider Enumeration Date : 08/19/2010
Last Update Date : 02/25/2015

Similar Medicare Providers

1942363064 — MRS. BELINDA S SEGAL PETERS MSN, ARNP
Practice Location Address:
2331 NE 53RD ST
FORT LAUDERDALE, FL
33308-3235
Practice Phone: 954-332-6225
Practice Fax:
1700135399 — SUNRISE DETOX III, LLC
Practice Location Address:
2331 NE 53RD ST
FORT LAUDERDALE, FL
33308-3235
Practice Phone: 954-491-9700
Practice Fax: 561-228-0836
1528799582 — TAYLOR SCOTT
Practice Location Address:
2331 NE 53RD ST
FORT LAUDERDALE, FL
33308-3235
Practice Phone: 954-491-9700
Practice Fax:
1932830916 — MAYA GIL MA
Practice Location Address:
2331 NE 53RD ST
FORT LAUDERDALE, FL
33308-3235
Practice Phone: 954-491-9700
Practice Fax:
1164219473 — MS. MARY MCCRAY
Practice Location Address:
2331 NE 53RD ST
FORT LAUDERDALE, FL
33308-3235
Practice Phone: 954-869-9759
Practice Fax:
1679361802 — MR. DAVID GERALD SAYRE
Practice Location Address:
2331 NE 53RD ST
FORT LAUDERDALE, FL
33308-3235
Practice Phone: 954-491-9700
Practice Fax:

Directions to “CHOICE ONE MEDICAL GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.