| Allegiant Medical And Research Center | |
|
10240 Sw 56th St Ste 105 Miami FL 33165-7066 | |
| (786) 332-4577 | |
| (786) 332-4367 |
| Full Name | Allegiant Medical And Research Center |
|---|---|
| Speciality | Family Medicine |
| Location | 10240 Sw 56th St Ste 105, Miami, Florida |
| Authorized Official Name and Position | Aniel Navarro Marin (MEDICAL DIRECTOR/ PROVIDER) |
| Authorized Official Contact | 7863432122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiant Medical And Research Center 10240 Sw 56th St Ste 105 Miami FL 33165-7066 Ph: (786) 332-4577 | Allegiant Medical And Research Center 10240 Sw 56th St Ste 105 Miami FL 33165-7066 Ph: (786) 332-4577 |
| NPI Number | 1003478595 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 07/03/2019 |
| Medicare PECOS PAC ID | 7810365665 |
|---|---|
| Medicare Enrollment ID | O20221129000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003478595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aniel Navarro Marin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750724621 PECOS PAC ID: 9436443082 Enrollment ID: I20161228001595 |
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