| |
8700 W Flagler St, 400, Miami, FL 33174-2401 | |
(901) 728-5858 | |
(901) 531-6312 |
Full Name | |
---|---|
Type | Facility |
Speciality | Nurse Practitioner |
Location | 8700 W Flagler St, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407394018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
650 New York St, Memphis, TN 38104-5536 Ph: (901) 728-5858 | 8700 W Flagler St, 400, Miami, FL 33174-2401 Ph: (901) 728-5858 |