| Encanto Health & Community Services | |
|
11430 N Kendall Dr Ste 106 Miami FL 33176-1041 | |
| (786) 312-0359 | |
| Not Available |
| Full Name | Encanto Health & Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11430 N Kendall Dr Ste 106, Miami, Florida |
| Authorized Official Name and Position | Yarisbel Gallardo (CEO) |
| Authorized Official Contact | 7867031605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encanto Health & Community Services 11430 N Kendall Dr Ste 106 Miami FL 33176-1041 Ph: (786) 312-0359 | Encanto Health & Community Services 11430 N Kendall Dr Ste 106 Miami FL 33176-1041 Ph: (786) 312-0359 |
| NPI Number | 1255955357 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/21/2021 |
| Medicare PECOS PAC ID | 1456767318 |
|---|---|
| Medicare Enrollment ID | O20210302000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255955357 | NPI | - | NPPES |
| Provider Name | Bradley Matthew White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265891634 PECOS PAC ID: 9537425335 Enrollment ID: I20171110002263 |
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