| Mjd Wellness And Community Center Inc | |
|
822 Ne 125th St Ste 103 North Miami FL 33161-5729 | |
| (786) 406-5886 | |
| Not Available |
| Full Name | Mjd Wellness And Community Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 822 Ne 125th St Ste 103, North Miami, Florida |
| Authorized Official Name and Position | Emmanuella Fluerimont (CEO) |
| Authorized Official Contact | 7864065886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjd Wellness And Community Center Inc 822 Ne 125th St Ste 103 North Miami FL 33161-5729 Ph: (786) 534-3896 | Mjd Wellness And Community Center Inc 822 Ne 125th St Ste 103 North Miami FL 33161-5729 Ph: (786) 406-5886 |
| NPI Number | 1275156259 |
|---|---|
| Provider Enumeration Date | 05/25/2020 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 2062821853 |
|---|---|
| Medicare Enrollment ID | O20210507000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275156259 | NPI | - | NPPES |
| Provider Name | Alphonse G Dufreny |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356311922 PECOS PAC ID: 5890683395 Enrollment ID: I20040308000074 |
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