Med-life Psychiatry Center Llc | |
801 Nw 37th Ave Ste 212 Miami FL 33125-3883 | |
(305) 504-6131 | |
(305) 452-0571 |
Full Name | Med-life Psychiatry Center Llc |
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Speciality | Psychiatry & Neurology |
Location | 801 Nw 37th Ave Ste 212, Miami, Florida |
Authorized Official Name and Position | Maybel Concepcion (CEO) |
Authorized Official Contact | 3055046131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Med-life Psychiatry Center Llc 801 Nw 37th Ave Ste 212 Miami FL 33125-3883 Ph: (305) 504-6131 | Med-life Psychiatry Center Llc 801 Nw 37th Ave Ste 212 Miami FL 33125-3883 Ph: (305) 504-6131 |
NPI Number | 1336854520 |
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Provider Enumeration Date | 01/23/2023 |
Last Update Date | 03/24/2023 |
Certification Date | 03/24/2023 |
Medicare PECOS PAC ID | 2860866787 |
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Medicare Enrollment ID | O20230316000604 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336854520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Maria A Rodil |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740384122 PECOS PAC ID: 7214935758 Enrollment ID: I20170120002432 |
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