All Inclusive Preventive Care Llc | |
5881 Nw 151st St Ste 203 Miami Lakes FL 33014-2442 | |
(305) 200-3141 | |
(786) 332-3854 |
Full Name | All Inclusive Preventive Care Llc |
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Speciality | Clinic/Center |
Location | 5881 Nw 151st St Ste 203, Miami Lakes, Florida |
Authorized Official Name and Position | Evelyn Rodriguez (MANAGING MEMBER) |
Authorized Official Contact | 7868978975 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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All Inclusive Preventive Care Llc 5881 Nw 151st St Ste 203 Miami Lakes FL 33014-2442 Ph: (305) 200-3141 | All Inclusive Preventive Care Llc 5881 Nw 151st St Ste 203 Miami Lakes FL 33014-2442 Ph: (305) 200-3141 |
NPI Number | 1013501113 |
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Provider Enumeration Date | 03/01/2021 |
Last Update Date | 10/05/2022 |
Medicare PECOS PAC ID | 0143623801 |
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Medicare Enrollment ID | O20210720000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013501113 | NPI | - | NPPES |
110595900 | Medicaid | FL |
Provider Name | Antonio E Terrelonge |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386757102 PECOS PAC ID: 7911957923 Enrollment ID: I20050127000542 |
Provider Name | Adrian A Villarreal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306106877 PECOS PAC ID: 5294967857 Enrollment ID: I20170818002660 |
Provider Name | Evelyn Rodriguez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700355641 PECOS PAC ID: 0345583373 Enrollment ID: I20190515001195 |
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