| Btc Clinic 1, Llc | |
|
20880 W Dixie Hwy Ste 105 Aventura FL 33180-1151 | |
| (786) 657-3941 | |
| Not Available |
| Full Name | Btc Clinic 1, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20880 W Dixie Hwy Ste 105, Aventura, Florida |
| Authorized Official Name and Position | Connie Decker (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4802692971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Btc Clinic 1, Llc 70 S Val Vista Dr Ste A3-659 Gilbert AZ 85296-1374 Ph: (480) 269-2971 | Btc Clinic 1, Llc 20880 W Dixie Hwy Ste 105 Aventura FL 33180-1151 Ph: (786) 657-3941 |
| NPI Number | 1053987230 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053987230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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