Organization · Type 2 NPI

Homeville Medical Care

Adult Medicine Physician · Plantation, FL

NPI number 1780207910 Active

Practice location

1861 NW 109th Ave
Plantation, FL 33322-3417

Fax (877) 935-4207

Mailing address

151 N Nob Hill Rd # 310
Plantation, FL 33324-1708

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1780207910

Homeville Medical Care's National Provider Identifier is 1780207910, issued on May 21, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Plantation, FL. The record was last updated on Jun 8, 2022.