Bermudez Medical Center Corp | |
2908 W Waters Ave Ste 101 Tampa FL 33614-1874 | |
(813) 443-9945 | |
Not Available |
Full Name | Bermudez Medical Center Corp |
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Speciality | Clinic/Center |
Location | 2908 W Waters Ave Ste 101, Tampa, Florida |
Authorized Official Name and Position | Lidia Bermudez (PRESIDENT) |
Authorized Official Contact | 3058056903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bermudez Medical Center Corp 7376 Nw 35th Ter Suite 104 Miami FL 33122-1241 Ph: (305) 805-6903 | Bermudez Medical Center Corp 2908 W Waters Ave Ste 101 Tampa FL 33614-1874 Ph: (813) 443-9945 |
NPI Number | 1295113264 |
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Provider Enumeration Date | 05/11/2015 |
Last Update Date | 04/10/2023 |
Medicare PECOS PAC ID | 0345513198 |
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Medicare Enrollment ID | O20170830002253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295113264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME91458 (Florida) | Primary |
Provider Name | Lidia R Bermudez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730250663 PECOS PAC ID: 1850338443 Enrollment ID: I20050415000204 |
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