| Carolina Oldham Md Pa | |
|
2140 Sw 25th St Miami FL 33133-2412 | |
| (786) 280-8822 | |
| Not Available |
| Full Name | Carolina Oldham Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2140 Sw 25th St, Miami, Florida |
| Authorized Official Name and Position | Carolina Oldham (PRESIDENT) |
| Authorized Official Contact | 7862808822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Oldham Md Pa 2140 Sw 25th St Miami FL 33133-2412 Ph: () - | Carolina Oldham Md Pa 2140 Sw 25th St Miami FL 33133-2412 Ph: (786) 280-8822 |
| NPI Number | 1083885362 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 08/06/2008 |
| Medicare PECOS PAC ID | 5799850384 |
|---|---|
| Medicare Enrollment ID | O20080815000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083885362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME81045 (Florida) | Primary |
| Provider Name | Carolina Oldham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710096623 PECOS PAC ID: 1355338237 Enrollment ID: I20040430000911 |
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