Organization
STAT MEDICAL CLINIC IV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE PRYCE (BILLING/CODING)
(954) 568-1818
Entity
Organization
Contact information
Practice address
2535 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-3203
(954) 568-1818
(954) 568-1475
Mailing address
2535 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-3203
(954) 568-1818
(954) 568-1475
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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