MD AT HOME PHYSICIAN SERVICES LLC NPI 1740687821

NPI Information

MD AT HOME PHYSICIAN SERVICES LLC is a medical physician assistant in Pembroke Pines, FL. MD AT HOME PHYSICIAN SERVICES LLC NPI is 1740687821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1931 NW 150TH AVE
SUITE 219
PEMBROKE PINES, FL
ZIP 33028-877
Phone: (305) 747-7688
Fax: (305) 747-7686

The provider's authorized official is Eduardo Elizalde Santos .
The authorized official title is Owner and has the following contact phone number (305) 975-0024.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 7/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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