Axis Health Services Llc | |
2720 Sw 97th Ave Ste C-105 Miami FL 33165-2677 | |
(786) 332-4330 | |
Not Available |
Full Name | Axis Health Services Llc |
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Speciality | Family Medicine |
Location | 2720 Sw 97th Ave Ste C-105, Miami, Florida |
Authorized Official Name and Position | Ayosen Balart Mejias (MGR/OWNER) |
Authorized Official Contact | 7865398305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Axis Health Services Llc 13876 Sw 56th St Ste 145 Miami FL 33175-6021 Ph: (786) 539-8305 | Axis Health Services Llc 2720 Sw 97th Ave Ste C-105 Miami FL 33165-2677 Ph: (786) 332-4330 |
NPI Number | 1174244545 |
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Provider Enumeration Date | 09/06/2022 |
Last Update Date | 09/07/2022 |
Medicare PECOS PAC ID | 6002292950 |
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Medicare Enrollment ID | O20220930001000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174244545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ayosen Balart Mejias |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710505813 PECOS PAC ID: 5991181745 Enrollment ID: I20220930001396 |
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