| Outsource Health Care Llc | |
|
1400 Ne 125th St North Miami FL 33161-6034 | |
| (305) 915-8900 | |
| (305) 762-5882 |
| Full Name | Outsource Health Care Llc |
|---|---|
| Speciality | Anesthesiology |
| Location | 1400 Ne 125th St, North Miami, Florida |
| Authorized Official Name and Position | Carol Joy Biggs-owens (CEO) |
| Authorized Official Contact | 3059158900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outsource Health Care Llc 1400 Ne 125th St North Miami FL 33161-6034 Ph: (305) 915-8900 | Outsource Health Care Llc 1400 Ne 125th St North Miami FL 33161-6034 Ph: (305) 915-8900 |
| NPI Number | 1629362751 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 10/20/2024 |
| Certification Date | 10/20/2024 |
| Medicare PECOS PAC ID | 1456580307 |
|---|---|
| Medicare Enrollment ID | O20140219000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629362751 | NPI | - | NPPES |
| Provider Name | Ana U Chipollini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346753472 PECOS PAC ID: 5698102200 Enrollment ID: I20211201001948 |
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