| Green Cross Clinic Llc | |
|
950 N Krome Ave Ste 405 Homestead FL 33030-4443 | |
| (305) 557-3444 | |
| (305) 557-3445 |
| Full Name | Green Cross Clinic Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 950 N Krome Ave Ste 405, Homestead, Florida |
| Authorized Official Name and Position | Alessandro Moriyon (DIRECTOR) |
| Authorized Official Contact | 3059107011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Cross Clinic Llc 950 N Krome Ave Ste 405 Homestead FL 33030-4443 Ph: (305) 557-3444 | Green Cross Clinic Llc 950 N Krome Ave Ste 405 Homestead FL 33030-4443 Ph: (305) 557-3444 |
| NPI Number | 1427620830 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Certification Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427620830 | NPI | - | NPPES |
| 018864901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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