| Douglas Gardens Cmhc | |
|
1680 Meridian Ave Suite 501 Miami Beach FL 33139 | |
| (305) 531-5341 | |
| (305) 532-5322 |
| Full Name | Douglas Gardens Cmhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1680 Meridian Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Larry J Long (CFO) |
| Authorized Official Contact | 3055315341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Gardens Cmhc 1680 Meridian Ave Ste 501 Miami Beach FL 33139-2719 Ph: (305) 531-5341 | Douglas Gardens Cmhc 1680 Meridian Ave Suite 501 Miami Beach FL 33139 Ph: (305) 531-5341 |
| NPI Number | 1114991544 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 1759343718 |
|---|---|
| Medicare Enrollment ID | O20041102000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114991544 | NPI | - | NPPES |
| 060289200 | Medicaid | FL | |
| 060289203 | Medicaid | FL | |
| 090289204 | Medicaid | FL | |
| 100730100 | Medicaid | FL | |
| 060289201 | Medicaid | FL |
| Provider Name | Peter Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477598423 PECOS PAC ID: 3577450725 Enrollment ID: I20040302000798 |
| Provider Name | Ruben Montanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316992019 PECOS PAC ID: 4385611136 Enrollment ID: I20041025000625 |
| Provider Name | Vivian M Olti Weissbrun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417056417 PECOS PAC ID: 4981793015 Enrollment ID: I20071127000764 |
| Provider Name | Jean Rony Rony Jean Mary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346317088 PECOS PAC ID: 5193815488 Enrollment ID: I20090107000623 |
| Provider Name | Alphonse Hayeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962510073 PECOS PAC ID: 7719142926 Enrollment ID: I20120712000607 |
| Provider Name | Carl Ivan Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396801 PECOS PAC ID: 9830443506 Enrollment ID: I20181115000962 |
| Provider Name | Antonella Beretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033898630 PECOS PAC ID: 5294170817 Enrollment ID: I20240305001485 |
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