| Ez Aid | |
|
790 Nw 107th Ave Ste 107 Miami FL 33172-3100 | |
| (786) 359-4852 | |
| Not Available |
| Full Name | Ez Aid |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 790 Nw 107th Ave Ste 107, Miami, Florida |
| Authorized Official Name and Position | Perpetua Nneka Ezeh-aideyan (PROVIDER/OWNER) |
| Authorized Official Contact | 2155312848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Aid 790 Nw 107th Ave Ste 107 Miami FL 33172-3100 Ph: (786) 359-4852 | Ez Aid 790 Nw 107th Ave Ste 107 Miami FL 33172-3100 Ph: (786) 359-4852 |
| NPI Number | 1518742535 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 9739535725 |
|---|---|
| Medicare Enrollment ID | O20231027000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518742535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Perpetua N Ezeh-aideyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184283418 PECOS PAC ID: 1355797135 Enrollment ID: I20231031001384 |
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