| Abba Medical Group Llc | |
|
11420 N Kendall Dr Ste 110 Miami FL 33176-1039 | |
| (786) 353-2536 | |
| (786) 353-2521 |
| Full Name | Abba Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 11420 N Kendall Dr Ste 110, Miami, Florida |
| Authorized Official Name and Position | Jorge Enrique Fernandez Ramirez (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 7863532536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abba Medical Group Llc 11420 N Kendall Dr Ste 110 Miami FL 33176-1039 Ph: (786) 353-2536 | Abba Medical Group Llc 11420 N Kendall Dr Ste 110 Miami FL 33176-1039 Ph: (786) 353-2536 |
| NPI Number | 1285499145 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 7719324300 |
|---|---|
| Medicare Enrollment ID | O20240319000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285499145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jorge E Fernandez Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649557059 PECOS PAC ID: 8022243872 Enrollment ID: I20161107002260 |
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