New Age Community Services Inc | |
13501 Sw 128th St Ste 212 Miami FL 33186-5863 | |
(786) 587-6419 | |
Not Available |
Full Name | New Age Community Services Inc |
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Speciality | Community/Behavioral Health |
Location | 13501 Sw 128th St Ste 212, Miami, Florida |
Authorized Official Name and Position | Maria Lazo (PRESIDENT) |
Authorized Official Contact | 7865876419 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Age Community Services Inc 13501 Sw 128th St Ste 212 Miami FL 33186-5863 Ph: (786) 587-6419 | New Age Community Services Inc 13501 Sw 128th St Ste 212 Miami FL 33186-5863 Ph: (786) 587-6419 |
NPI Number | 1013545920 |
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Provider Enumeration Date | 03/28/2020 |
Last Update Date | 03/28/2020 |
Certification Date | 03/28/2020 |
Medicare PECOS PAC ID | 4587071733 |
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Medicare Enrollment ID | O20210406000632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013545920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Joseph Sluhoski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548654965 PECOS PAC ID: 3476888553 Enrollment ID: I20190711001270 |
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