Dr Marco A Amendola, MD | |
1611 Nw 12th Ave, Box 016960 (m851), Miami, FL 33136-1005 | |
(305) 243-6358 | |
(305) 243-8470 |
Full Name | Dr Marco A Amendola |
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Gender | Male |
Speciality | Radiology - Body Imaging |
Location | 1611 Nw 12th Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922031095 | NPI | - | NPPES |
0616028-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | ME58412 (Florida) | Primary |
Entity Name | Innovative Cancer Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528245867 PECOS PAC ID: 3476627357 Enrollment ID: O20080811000786 |
Entity Name | Beatriz E Amendola Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750694493 PECOS PAC ID: 7618164328 Enrollment ID: O20101207001093 |
Mailing Address | Practice Location Address |
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Dr Marco A Amendola, MD 5995 Sw 71st St, South Miami, FL 33143-3531 Ph: (305) 669-6833 | Dr Marco A Amendola, MD 1611 Nw 12th Ave, Box 016960 (m851), Miami, FL 33136-1005 Ph: (305) 243-6358 |
Dr. Brian F Baigorri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3663 S Miami Ave, Miami, FL 33133 Phone: 305-854-4400 | |
Dr. Justin Matthew Rafael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 Fax: 305-273-0254 | |
Tate Hodges, MD Radiology Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1272 | |
Aazim Syed Arif, MD Radiology Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 | |
Damian Mendoza, RDMS, RDCS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 4100 Sw 57th Ave, Miami, FL 33155 Phone: 305-856-1064 | |
Mr. Hao V Vuong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 | |
Roberto Calderon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11750 Sw 40th St, Miami, FL 33175 Phone: 305-665-4614 Fax: 305-667-0239 |