| |
7392 Nw 35th Ter # 209-210, Miami, FL 33122-1271 | |
(786) 650-0060 | |
(786) 536-2503 |
Full Name | |
---|---|
Type | Facility |
Speciality | Health Maintenance Organization |
Location | 7392 Nw 35th Ter # 209-210, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053811968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
302R00000X | Health Maintenance Organization | (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
133 Jane Ln, Saint Rose, LA 70087-3218 Ph: (504) 224-2400 | 7392 Nw 35th Ter # 209-210, Miami, FL 33122-1271 Ph: (786) 650-0060 |