| Dr Elena Coello-jemmali Inc | |
|
14707 S Dixie Hwy #211 Palmetto Bay FL 33176-7948 | |
| (305) 233-2010 | |
| (305) 233-2011 |
| Full Name | Dr Elena Coello-jemmali Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 14707 S Dixie Hwy, Palmetto Bay, Florida |
| Authorized Official Name and Position | Elena Coello Jemmali (PHYSICIAN) |
| Authorized Official Contact | 3052332010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elena Coello-jemmali Inc 14707 S Dixie Hwy #211 Palmetto Bay FL 33176-7948 Ph: (305) 233-2010 | Dr Elena Coello-jemmali Inc 14707 S Dixie Hwy #211 Palmetto Bay FL 33176-7948 Ph: (305) 233-2010 |
| NPI Number | 1801099155 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 06/24/2008 |
| Medicare PECOS PAC ID | 6103841267 |
|---|---|
| Medicare Enrollment ID | O20051008000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801099155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY04371 (Florida) | Primary |
| Provider Name | Elena C Coello-jemmali |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972564664 PECOS PAC ID: 7810893260 Enrollment ID: I20090105000422 |
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