| Umiami Medicine - Neurology | |
|
1611 Nw 12th Ave Miami FL 33136-1005 | |
| (305) 243-4951 | |
| Not Available |
| Full Name | Umiami Medicine - Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1611 Nw 12th Ave, Miami, Florida |
| Authorized Official Name and Position | Cesia A Sanchez (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 3052436837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umiami Medicine - Neurology Po Box 405506 Atlanta GA 30384-5506 Ph: (305) 243-7505 | Umiami Medicine - Neurology 1611 Nw 12th Ave Miami FL 33136-1005 Ph: (305) 243-4951 |
| NPI Number | 1588613939 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588613939 | NPI | - | NPPES |
| 055900800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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