| Antares Mental Health Group Llc | |
|
7769 Nw 48th St Ste 330 Doral FL 33166-5463 | |
| (786) 332-4705 | |
| (786) 310-7241 |
| Full Name | Antares Mental Health Group Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7769 Nw 48th St Ste 330, Doral, Florida |
| Authorized Official Name and Position | Jose A Espalter (OWNER) |
| Authorized Official Contact | 7865235704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antares Mental Health Group Llc 7765 Nw 48th St Ste 330 Doral FL 33166-5404 Ph: (786) 332-4705 | Antares Mental Health Group Llc 7769 Nw 48th St Ste 330 Doral FL 33166-5463 Ph: (786) 332-4705 |
| NPI Number | 1457932766 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 6103217476 |
|---|---|
| Medicare Enrollment ID | O20211221000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457932766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Samir Rameshchandra Shah |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881893741 PECOS PAC ID: 6507080736 Enrollment ID: I20190925002827 |
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