Angel Gamboa Torres, | |
743 Ne 167th St, North Miami Beach, FL 33162-2404 | |
(305) 957-0017 | |
(786) 629-3922 |
Full Name | Angel Gamboa Torres |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 743 Ne 167th St, North Miami Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841825775 | NPI | - | NPPES |
012196000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F03200049 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11006474 (Florida) | Primary |
Entity Name | Access Medical Group Of North Miami Beach, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578844106 PECOS PAC ID: 9436396264 Enrollment ID: O20130612000325 |
Mailing Address | Practice Location Address |
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Angel Gamboa Torres, 6100 Blue Lagoon Dr Ste 365, Miami, FL 33126-7010 Ph: (786) 322-7333 | Angel Gamboa Torres, 743 Ne 167th St, North Miami Beach, FL 33162-2404 Ph: (305) 957-0017 |
Diane B Contrastano, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18260 Ne 19th Ave, Suite 201, North Miami Beach, FL 33162 Phone: 305-956-9062 Fax: 305-354-4524 | |
Joan Louis-pierre, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Ne 171st Ter, North Miami Beach, FL 33162 Phone: 786-250-7739 | |
Ms. Miseline Fabre, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 Ne 157th Ter, North Miami Beach, FL 33162 Phone: 305-318-1388 | |
Tracy Ann Passley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1440 Ne 174th St, North Miami Beach, FL 33162 Phone: 786-370-1324 | |
Mr. Edward Manuel Hernandez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3143 Ne 163rd St, North Miami Beach, FL 33160 Phone: 305-343-1365 | |
Marcos Antonio Rodriguez Morales, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16565 Ne 4th Ave, North Miami Beach, FL 33162 Phone: 305-944-1516 | |
Ms. Juliet N/a Shaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16800 Nw 2nd Ave # 400, North Miami Beach, FL 33169 Phone: 305-654-3718 |