Provider Demographics
NPI:1235394222
Name:ACCESS FAMILY HEALTH CARE LLC
Entity Type:Organization
Organization Name:ACCESS FAMILY HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ABDOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-484-9292
Mailing Address - Street 1:2951 NW 49TH AVE
Mailing Address - Street 2:SUITE 104 C
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1600
Mailing Address - Country:US
Mailing Address - Phone:954-484-9292
Mailing Address - Fax:954-484-9242
Practice Address - Street 1:2951 NW 49TH AVE
Practice Address - Street 2:SUITE 104 C
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-1600
Practice Address - Country:US
Practice Address - Phone:954-484-9292
Practice Address - Fax:954-484-9242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-19
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95552261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care