Serge-henri J Gardere (NPI# 1275838542, PAC ID# 3375865397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275838542 |
| PAC ID by PECOS | 3375865397 |
| Professional Enrollment ID | I20141202002170 |
| Full Name | Serge-henri J Gardere |
| Organization Legal Name | LIFEWAY INC |
| Address |
5333 N Dixie Hwy Suite 110 Ft. Lauderdale FL 33334-3453 |
| Phone Number | 9547728554 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 6406863034 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100200 | BROWARD HEALTH IMPERIAL POINT |
| Address | Phone | Organization |
|---|---|---|
| 5333 N Dixie Hwy, Suite 110, Ft. Lauderdale, FL 33334-3453 | 9547728554 | LIFEWAY INC |
| 1201 Ne 26th St, Suite 109, Wilton Manors, FL 33305-1206 | 9543817334 | OSTEOPATHIC MEDICAL ARTS CENTER OF SOUTH FLORIDA, LLC |
| Organization Legal Name | LIFEWAY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marah Lee | Internal Medicine | Lifeway Inc | 5333 N Dixie Hwy, Suite 110, Ft. Lauderdale, FL 33334-3453 |
| Scott Allen Hall | Internal Medicine | Lifeway Inc | 5333 N Dixie Hwy, Suite 110, Ft. Lauderdale, FL 33334-3453 |
| Street Address |
5333 N DIXIE HWY SUITE 110 |
| City | FT. LAUDERDALE |
| State | FL |
| Zip | 33334-3453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marah Lee | Internal Medicine | Lifeway Inc | 5333 N Dixie Hwy, Suite 110, Ft. Lauderdale, FL 33334-3453 |
| Ricardo R Reyes | Infectious Disease | 5333 N Dixie Hwy, Suite 205, Oakland Park, FL 33334-3454 | |
| Oscar R Sherman | Ophthalmology | 5333 N Dixie Hwy, Suite 101, Oakland Park, FL 33334-3453 | |
| Aristides Zacharoudis | Cardiovascular Disease (cardiology) | 5333 N Dixie Hwy, Suite 208, Oakland Park, FL 33334-3454 | |
| Scott Allen Hall | Internal Medicine | Lifeway Inc | 5333 N Dixie Hwy, Suite 110, Ft. Lauderdale, FL 33334-3453 |
| James R Milne | Physical Medicine and Rehabilitation | 5333 N Dixie Hwy, Suite 204, Oakland Park, FL 33334-3454 | |
| Lanelle S Williams | Optometry | Dan Hoffman Md Pa | 5333 N Dixie Hwy, Suite 101, Ft. Lauderdale, FL 33334-3453 |
| Joseph I Hoffman | Ophthalmology | Dan Hoffman Md Pa | 5333 N Dixie Hwy, Suite 101, Ft. Lauderdale, FL 33334-3453 |
| Linda S Cox | Allergy/immunology | 5333 N Dixie Hwy, Suite 210, Oakland Park, FL 33334-3454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Kellerman | Chiropractic | Michael F Petrie Dc Pa | 410 Ne 44 St, Oakland Park, FL 33334-1423 |
| Michael F Petrie | Chiropractic | Michael F Petrie Dc Pa | 410 Ne 44 St, Oakland Park, FL 33334-1423 |
| Raymond E Masse | Physical Therapy | Michael F Petrie Dc Pa | 410 Ne 44 St, Oakland Park, FL 33334-1423 |
| Jason S Mann | Optometry | 23 Ne 44th St, Oakland Park, FL 33334-1437 | |
| Ted Williams | Clinical Social Worker | 4830 Ne 2nd Ave, Fortlauderdale, FL 33334-1506 | |
| William Winston Leonard Peterson | Chiropractic | 291 E Commercial Blvd, Fort Lauderdale, FL 33334-1625 | |
| Jamilie Mansour | Physical Therapy | Fusion Health and Wellness LLC | 1164 E Oakland Park Blvd, Suite 102, Oakland Park, FL 33334-2709 |
| Bharat Gupta | Nephrology | 911 E Oakland Park Blvd, Oakland Park, FL 33334-2725 | |
| Rodolfo Herrera Barter | General Practice | Senior Medical Associates LLC | 735 E Oakland Pk Blvd, Oakland Park, FL 33334-2747 |
| Bradley P Gerhard | Chiropractic | 823 E Oakland Park Blvd, Oakland Park, FL 33334-2752 | |
| Find all physicians in zip 33334 | |||
| City | FT. LAUDERDALE |
| Zip Code | 33334 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FT. LAUDERDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Serge-henri J Gardere.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.