| A & D Doctor Center Llc | |
|
330 Sw 27th Ave Ste 706 Miami FL 33135-2968 | |
| (786) 305-4502 | |
| (786) 305-4503 |
| Full Name | A & D Doctor Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 Sw 27th Ave Ste 706, Miami, Florida |
| Authorized Official Name and Position | Dayami Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7863054502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A & D Doctor Center Llc 330 Sw 27th Ave Ste 706 Miami FL 33135-2968 Ph: (786) 305-4502 | A & D Doctor Center Llc 330 Sw 27th Ave Ste 706 Miami FL 33135-2968 Ph: (786) 305-4502 |
| NPI Number | 1558962373 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Medicare PECOS PAC ID | 9830500321 |
|---|---|
| Medicare Enrollment ID | O20201207000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558962373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Aleyda Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421217 PECOS PAC ID: 0547577991 Enrollment ID: I20150916002984 |
| Provider Name | Dayami Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811532849 PECOS PAC ID: 0547697468 Enrollment ID: I20200402003740 |
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