Access Psychiatry Llc | |
2701 Sw 110th Ave Miami FL 33165-2331 | |
(239) 464-3310 | |
Not Available |
Full Name | Access Psychiatry Llc |
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Speciality | Clinic/Center |
Location | 2701 Sw 110th Ave, Miami, Florida |
Authorized Official Name and Position | Miguel Diaz (SOLE OWNER) |
Authorized Official Contact | 2394643310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Psychiatry Llc 2701 Sw 110th Ave Miami FL 33165-2331 Ph: (239) 464-3310 | Access Psychiatry Llc 2701 Sw 110th Ave Miami FL 33165-2331 Ph: (239) 464-3310 |
NPI Number | 1033977855 |
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Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/11/2024 |
Certification Date | 03/11/2024 |
Medicare PECOS PAC ID | 2264873322 |
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Medicare Enrollment ID | O20240507004540 |
Identifier | Type | State | Issuer |
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1033977855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Miguel A Diaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629511290 PECOS PAC ID: 7012920143 Enrollment ID: I20180521003035 |
Provider Name | Diana Acosta Romero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003518499 PECOS PAC ID: 6800261371 Enrollment ID: I20230414001132 |
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