| Miriam Mw | |
|
19300 W Dixie Hwy Unit 2 Aventura FL 33180-2201 | |
| (917) 817-7266 | |
| Not Available |
| Full Name | Miriam Mw |
|---|---|
| Speciality | Clinic/Center |
| Location | 19300 W Dixie Hwy Unit 2, Aventura, Florida |
| Authorized Official Name and Position | Miriam Moussatche-wechsler (OWNER) |
| Authorized Official Contact | 9178177266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Mw 5701 Collins Ave Apt 1603 Miami Beach FL 33140-2341 Ph: (917) 817-7266 | Miriam Mw 19300 W Dixie Hwy Unit 2 Aventura FL 33180-2201 Ph: (917) 817-7266 |
| NPI Number | 1740787654 |
|---|---|
| Provider Enumeration Date | 04/07/2018 |
| Last Update Date | 04/07/2018 |
| Medicare PECOS PAC ID | 5698198455 |
|---|---|
| Medicare Enrollment ID | O20200713001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740787654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Miriam Moussatche-wechsler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952601650 PECOS PAC ID: 9133380983 Enrollment ID: I20120423000299 |
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