Organization
PHYSICIAN ASSOCIATES OF BROWARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVADOR ENRIQUE MORA MD (MEDICAL DIRECTOR)
(954) 322-3603
Entity
Organization
Contact information
Practice address
9900 STIRLING RD, SUITE 102, HOLLYWOOD, FL 33024-8065
(954) 322-3603
(954) 322-5303
Mailing address
9900 STIRLING RD, SUITE 102, HOLLYWOOD, FL 33024-8065
(954) 322-3603
(954) 322-5303
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42635
BCBS
—
Enumeration date
08/30/2011
Last updated
09/09/2016
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