Nova Medical Services - Podiatry Division Llc | |
8260 W Flagler St Ste 2i, Miami, FL 33144-2069 | |
(786) 715-9183 | |
(786) 713-1115 |
Full Name | Nova Medical Services - Podiatry Division Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 8260 W Flagler St Ste 2i, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457134827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Gregorio Caban |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1205894391 PECOS PAC ID: 5496756611 Enrollment ID: I20070130000565 |
Provider Name | Yalenis Perez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144927443 PECOS PAC ID: 8426419615 Enrollment ID: I20230803004382 |
Mailing Address | Practice Location Address |
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Nova Medical Services - Podiatry Division Llc 8260 W Flagler St Ste 2i, Miami, FL 33144-2069 Ph: (786) 715-9183 | Nova Medical Services - Podiatry Division Llc 8260 W Flagler St Ste 2i, Miami, FL 33144-2069 Ph: (786) 715-9183 |
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