| Adonis Pardo Do Llc | |
|
2608 Nw 97th Ave Doral FL 33172-1413 | |
| (305) 614-4844 | |
| (305) 603-8614 |
| Full Name | Adonis Pardo Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2608 Nw 97th Ave, Doral, Florida |
| Authorized Official Name and Position | Adonis R Pardo (DO/OWNER) |
| Authorized Official Contact | 3056144844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adonis Pardo Do Llc 2608 Nw 97th Ave Doral FL 33172-1413 Ph: (305) 614-4844 | Adonis Pardo Do Llc 2608 Nw 97th Ave Doral FL 33172-1413 Ph: (305) 614-4844 |
| NPI Number | 1265008213 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 9537560438 |
|---|---|
| Medicare Enrollment ID | O20210630000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265008213 | NPI | - | NPPES |
| 1669691572 | Other | FL | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| Provider Name | Adonis R Pardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669691572 PECOS PAC ID: 9436243789 Enrollment ID: I20070918000524 |
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