| Cardinal Primary Care Llc | |
|
10970 Sw 73rd St Miami FL 33173-2749 | |
| (786) 715-2505 | |
| (305) 703-2937 |
| Full Name | Cardinal Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10970 Sw 73rd St, Miami, Florida |
| Authorized Official Name and Position | Raquel Joubert (CORPORATE MGER) |
| Authorized Official Contact | 7867152505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Primary Care Llc 10970 Sw 73rd St Miami FL 33173-2749 Ph: (786) 715-2505 | Cardinal Primary Care Llc 10970 Sw 73rd St Miami FL 33173-2749 Ph: (786) 715-2505 |
| NPI Number | 1952055410 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 8022404201 |
|---|---|
| Medicare Enrollment ID | O20220416000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952055410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Raquel Joubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225381015 PECOS PAC ID: 8820233802 Enrollment ID: I20130321000447 |
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