Alliance Medical Center Inc | |
6245 Miramar Pkwy Suite 101 Miramar FL 33023-3964 | |
(954) 613-4715 | |
(954) 613-4722 |
Full Name | Alliance Medical Center Inc |
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Speciality | Clinic/Center |
Location | 6245 Miramar Pkwy, Miramar, Florida |
Authorized Official Name and Position | Jean Rodney (MEDICAL DIRECTOR) |
Authorized Official Contact | 3053006278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance Medical Center Inc 6245 Miramar Pkwy Suite 102 Miramar FL 33023-3964 Ph: (954) 613-4715 | Alliance Medical Center Inc 6245 Miramar Pkwy Suite 101 Miramar FL 33023-3964 Ph: (954) 613-4715 |
NPI Number | 1700270139 |
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Provider Enumeration Date | 03/24/2015 |
Last Update Date | 07/28/2015 |
Medicare PECOS PAC ID | 7113222837 |
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Medicare Enrollment ID | O20160217002267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700270139 | NPI | - | NPPES |
268377600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Florida) | Primary |
Provider Name | Guillermo E Guerra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992824692 PECOS PAC ID: 2860842515 Enrollment ID: I20231221001925 |
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