| Advanced Care South Florida Llc | |
|
13195 Sw 134th St Ste 102 Miami FL 33186-4585 | |
| (305) 934-0445 | |
| Not Available |
| Full Name | Advanced Care South Florida Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 13195 Sw 134th St Ste 102, Miami, Florida |
| Authorized Official Name and Position | Yanelis Gil (OWNER) |
| Authorized Official Contact | 3059340445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care South Florida Llc 13195 Sw 134th St Ste 102 Miami FL 33186-4585 Ph: (305) 964-5236 | Advanced Care South Florida Llc 13195 Sw 134th St Ste 102 Miami FL 33186-4585 Ph: (305) 934-0445 |
| NPI Number | 1295449544 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 9537513072 |
|---|---|
| Medicare Enrollment ID | O20231002002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295449544 | NPI | - | NPPES |
| Provider Name | Yanelis Gil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326509720 PECOS PAC ID: 5890100085 Enrollment ID: I20210222001187 |
| Provider Name | Caitlyn D Fitzgerald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538781760 PECOS PAC ID: 4789006594 Enrollment ID: I20240520003625 |
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