MEDICARE: MED FIRST

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
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1861934804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED FIRST

Provider Business Mailing Address
First Line	:	1052 S POWERLINE RD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-8119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1052 S POWERLINE RD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-8119
Country	:	US
Telephone Number	:	561-350-9442
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	AKRAM GIRGIS
Credential	:
Telephone Number	:	561-350-9442

Provider Enumeration Date	:	11/08/2016
Last Update Date	:	11/08/2016

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Directions to “MED FIRST ” Practice Location

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