Syntax Medical Services Llc | |
790 Nw 107th Ave Ste 107 Miami FL 33172-3100 | |
(786) 408-7729 | |
Not Available |
Full Name | Syntax Medical Services Llc |
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Speciality | Psychiatry & Neurology |
Location | 790 Nw 107th Ave Ste 107, Miami, Florida |
Authorized Official Name and Position | Olaocha Beatrice Okwuadigbo (OWNER) |
Authorized Official Contact | 7864087729 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Syntax Medical Services Llc 2400 Lake Erma Dr Hampton GA 30228-6083 Ph: (703) 403-2505 | Syntax Medical Services Llc 790 Nw 107th Ave Ste 107 Miami FL 33172-3100 Ph: (786) 408-7729 |
NPI Number | 1083326102 |
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Provider Enumeration Date | 12/20/2022 |
Last Update Date | 11/06/2023 |
Certification Date | 11/06/2023 |
Medicare PECOS PAC ID | 8224400296 |
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Medicare Enrollment ID | O20230221001833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083326102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Olaocha B. Okwuadigbo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619443728 PECOS PAC ID: 1759773708 Enrollment ID: I20220125000517 |
Provider Name | Ariel Del Valle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407462641 PECOS PAC ID: 0143663450 Enrollment ID: I20240202003225 |
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