| Royal Health Centers Orlando Llc | |
|
14160 Palmetto Frntg Rd Ste 160 Miami Lakes FL 33016-1641 | |
| (786) 359-4787 | |
| (786) 359-4836 |
| Full Name | Royal Health Centers Orlando Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14160 Palmetto Frntg Rd Ste 160, Miami Lakes, Florida |
| Authorized Official Name and Position | Maria J Crespi (PRESIDENT) |
| Authorized Official Contact | 7863594787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Health Centers Orlando Llc 14160 Palmetto Frntg Rd Ste 160 Miami Lakes FL 33016-1641 Ph: (786) 359-4787 | Royal Health Centers Orlando Llc 14160 Palmetto Frntg Rd Ste 160 Miami Lakes FL 33016-1641 Ph: (786) 359-4787 |
| NPI Number | 1730764051 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 9537503289 |
|---|---|
| Medicare Enrollment ID | O20240221001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730764051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Raja Moti Gidwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235165051 PECOS PAC ID: 6608047014 Enrollment ID: I20110915000268 |
| Provider Name | Yuritza Medina Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544331 PECOS PAC ID: 9830506245 Enrollment ID: I20210401000312 |
| Provider Name | Jason Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659802916 PECOS PAC ID: 9335549518 Enrollment ID: I20210609001412 |
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