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Organization

ADULT&GERIACTRIC INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRES MENCIA (MD)
(954) 489-1345
Entity
Organization

Contact information

Practice address
4010 N OCEAN BLVD, FORT LAUDERDALE, FL 33308-6420
(954) 566-5700
(954) 566-5799
Mailing address
4010 N OCEAN BLVD, FORT LAUDERDALE, FL 33308-6420
(954) 566-5700
(954) 566-5799

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/06/2006
Last updated
08/22/2020
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  • EDI platform