| Calixte Medical Center Inc. | |
|
8910 Miramar Pkwy Suite 117 Miramar FL 33025-4100 | |
| (954) 442-6988 | |
| (954) 441-2859 |
| Full Name | Calixte Medical Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8910 Miramar Pkwy, Miramar, Florida |
| Authorized Official Name and Position | Harold Calixte (PRESIDENT) |
| Authorized Official Contact | 9544426988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calixte Medical Center Inc. 8910 Miramar Pkwy Suite 117 Miramar FL 33025-4100 Ph: (954) 442-6988 | Calixte Medical Center Inc. 8910 Miramar Pkwy Suite 117 Miramar FL 33025-4100 Ph: (954) 442-6988 |
| NPI Number | 1679839310 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Medicare PECOS PAC ID | 1850542093 |
|---|---|
| Medicare Enrollment ID | O20121115000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679839310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| Provider Name | Jean Rony Rony Jean Mary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346317088 PECOS PAC ID: 5193815488 Enrollment ID: I20090107000623 |
| Provider Name | Alexander Tamayo Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699301333 PECOS PAC ID: 8426429127 Enrollment ID: I20230117000633 |
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