| Slrc Miami Medical, Llc | |
|
601 Brickell Key Dr Miami FL 33131-2662 | |
| (727) 418-2567 | |
| Not Available |
| Full Name | Slrc Miami Medical, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 Brickell Key Dr, Miami, Florida |
| Authorized Official Name and Position | Jolene De La Gardelle (VP OPERATIONS) |
| Authorized Official Contact | 8137254991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Slrc Miami Medical, Llc 5510 N Hesperides St Tampa FL 33614-5414 Ph: (813) 467-6111 | Slrc Miami Medical, Llc 601 Brickell Key Dr Miami FL 33131-2662 Ph: (727) 418-2567 |
| NPI Number | 1982205290 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 1658789649 |
|---|---|
| Medicare Enrollment ID | O20210412001308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982205290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Toni D Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588195754 PECOS PAC ID: 3476830332 Enrollment ID: I20170502000002 |
| Provider Name | Amy L Fiessinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578751533 PECOS PAC ID: 1355594672 Enrollment ID: I20200128001097 |
| Provider Name | Deonne L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770172512 PECOS PAC ID: 0042617490 Enrollment ID: I20210928000524 |
| Provider Name | Mayra Liz Lugo-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255610531 PECOS PAC ID: 3577956416 Enrollment ID: I20220217000017 |
| Provider Name | Rachel Nichole Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003550328 PECOS PAC ID: 7416322565 Enrollment ID: I20230404000433 |
| Provider Name | Jennifer St Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992582456 PECOS PAC ID: 5496104507 Enrollment ID: I20231214003326 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |