Creative Healthcare Center Llc | |
789 Nw 27th Ave Miami FL 33125-3012 | |
(305) 710-3930 | |
Not Available |
Full Name | Creative Healthcare Center Llc |
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Speciality | Clinic/Center |
Location | 789 Nw 27th Ave, Miami, Florida |
Authorized Official Name and Position | Annette Figarola (PRESIDENT) |
Authorized Official Contact | 7722419222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creative Healthcare Center Llc 789 Nw 27th Ave Miami FL 33125-3012 Ph: (305) 710-3930 | Creative Healthcare Center Llc 789 Nw 27th Ave Miami FL 33125-3012 Ph: (305) 710-3930 |
NPI Number | 1215659933 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 04/12/2024 |
Certification Date | 11/09/2022 |
Medicare PECOS PAC ID | 2466822614 |
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Medicare Enrollment ID | O20230104000347 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215659933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Denise M Josey |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1376801589 PECOS PAC ID: 3274806070 Enrollment ID: I20190408000272 |
Provider Name | Amanda Allison |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831695105 PECOS PAC ID: 1557738432 Enrollment ID: I20221103002104 |
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