| Agape Health Medical Center Llc | |
|
7000 Sw 62nd Ave Ste 600 South Miami FL 33143-4728 | |
| (305) 852-9300 | |
| Not Available |
| Full Name | Agape Health Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7000 Sw 62nd Ave Ste 600, South Miami, Florida |
| Authorized Official Name and Position | Douglas Villalba (COO) |
| Authorized Official Contact | 7862907428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Health Medical Center Llc 90130 Old Hwy Tavernier FL 33070-2368 Ph: (305) 852-9300 | Agape Health Medical Center Llc 7000 Sw 62nd Ave Ste 600 South Miami FL 33143-4728 Ph: (305) 852-9300 |
| NPI Number | 1376120477 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 1456760115 |
|---|---|
| Medicare Enrollment ID | O20210510000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376120477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Darren S Salinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982787735 PECOS PAC ID: 6002833845 Enrollment ID: I20140214000237 |
| Provider Name | Miguel A Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679821102 PECOS PAC ID: 3577713551 Enrollment ID: I20150608000928 |
| Provider Name | Fernando Javier Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063672061 PECOS PAC ID: 6103167853 Enrollment ID: I20190408001641 |
| Provider Name | Douglas Jonathan Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568923043 PECOS PAC ID: 9830588433 Enrollment ID: I20211122000865 |
| Provider Name | Julio C Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083126718 PECOS PAC ID: 1153713730 Enrollment ID: I20220111000351 |
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