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NPI Code Detail

MEDICARE: BROWARD INTERNAL MEDICINE P A

MEDICARE: BROWARD INTERNAL MEDICINE P A
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
1207R00000XInternal Medicine PhysicianOS8465FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2K6039OTHERFLGROUP IDENTIFICATION NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821095621
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWARD INTERNAL MEDICINE P A
Provider Business Mailing Address
First Line : 8890 W OAKLAND PARK BLVD STE 203
Second Line :
City : SUNRISE
State : FL
Zip : 33351-7224
Country : US
Telephone Number : 954-746-5678
Fax Number : 954-746-5555
Provider Business Practice Location Address
First Line : 8890 W OAKLAND PARK BLVD STE 203
Second Line :
City : SUNRISE
State : FL
Zip : 33351-7224
Country : US
Telephone Number : 954-746-5678
Fax Number : 954-746-5555
Authorized Official
Title or Position : PRESIDENT
Name : SOLING LI
Credential : D.O.
Telephone Number : 954-746-5678
Provider Enumeration Date : 07/07/2005
Last Update Date : 09/22/2011

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Directions to “BROWARD INTERNAL MEDICINE P A ” Practice Location

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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.