Plantation Medical Clinic PA

NPI #1245423292 in Plantation, Florida

Provider Information

NPI Number: 1245423292
Entity Type: Organization
Organization Name: Plantation Medical Clinic PA
Primary Specialty: Internal Medicine
Enumeration Date: Aug 23, 2007
Last Updated: Dec 24, 2008

Practice Location

Address: 100 NW 82ND AVE
Address 2: STE 206
City: Plantation
State: Florida
ZIP Code: 33324-1899
Phone: (954) 424-4401

Authorized Official

Name: PETER P SIMEK, M.D
Title: OWNER PRESIDENT
Phone: (954) 424-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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