Organization
IHS MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERMAINE BOWEN PHARM. D (BUSINESS MANAGER)
(954) 726-1662
Entity
Organization
Contact information
Practice address
7800 N UNIVERSITY DR, SUITE 101-102, TAMARAC, FL 33321-2128
(954) 726-1662
(954) 726-1678
Mailing address
7800 N UNIVERSITY DR, SUITE 102, TAMARAC, FL 33321-2128
(954) 726-1662
(954) 726-1678
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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