R & C Psychiatry And Integrative Medicine Llc | |
9050 Pines Blvd Ste 150 Pembroke Pines FL 33024-6400 | |
(305) 915-4565 | |
(954) 256-6047 |
Full Name | R & C Psychiatry And Integrative Medicine Llc |
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Speciality | Clinic/Center |
Location | 9050 Pines Blvd Ste 150, Pembroke Pines, Florida |
Authorized Official Name and Position | Roberto Carmona (OWNER) |
Authorized Official Contact | 7867417792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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R & C Psychiatry And Integrative Medicine Llc 9050 Pines Blvd Ste 150 Pembroke Pines FL 33024-6400 Ph: (305) 915-4565 | R & C Psychiatry And Integrative Medicine Llc 9050 Pines Blvd Ste 150 Pembroke Pines FL 33024-6400 Ph: (305) 915-4565 |
NPI Number | 1134833163 |
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Provider Enumeration Date | 01/13/2023 |
Last Update Date | 10/31/2024 |
Certification Date | 10/31/2024 |
Medicare PECOS PAC ID | 1557733854 |
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Medicare Enrollment ID | O20230215000928 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134833163 | NPI | - | NPPES |
Provider Name | Roberto Carmona |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538563838 PECOS PAC ID: 4284951633 Enrollment ID: I20150323002008 |
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