Bkb Med Llc | |
13814 Sw 152nd St Miami FL 33177-1164 | |
(305) 305-1002 | |
(305) 402-7714 |
Full Name | Bkb Med Llc |
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Speciality | Clinic/Center |
Location | 13814 Sw 152nd St, Miami, Florida |
Authorized Official Name and Position | Yanet Garcia (APRN) |
Authorized Official Contact | 3053051002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bkb Med Llc 13814 Sw 152nd St Miami FL 33177-1164 Ph: (305) 305-1002 | Bkb Med Llc 13814 Sw 152nd St Miami FL 33177-1164 Ph: (305) 305-1002 |
NPI Number | 1629790340 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Medicare PECOS PAC ID | 0244616241 |
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Medicare Enrollment ID | O20220928002265 |
Identifier | Type | State | Issuer |
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1629790340 | NPI | - | NPPES |
Provider Name | Amarilys Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043618903 PECOS PAC ID: 4981866597 Enrollment ID: I20151014000441 |
Provider Name | Juan Lazaro Brito Villalon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184163974 PECOS PAC ID: 7214299676 Enrollment ID: I20180322001861 |
Provider Name | Yanet Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487216222 PECOS PAC ID: 6800220088 Enrollment ID: I20191220001335 |
Provider Name | Lirian D Leyva Reyes |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841871019 PECOS PAC ID: 6204202351 Enrollment ID: I20221014002009 |
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