Carlos A Conrado M D P A | |
151 Nw 11th St Suite E102 Homestead FL 33030-4360 | |
(305) 248-4877 | |
(305) 245-1576 |
Full Name | Carlos A Conrado M D P A |
---|---|
Speciality | Internal Medicine |
Location | 151 Nw 11th St, Homestead, Florida |
Authorized Official Name and Position | Carlos A Conrado (OWNER) |
Authorized Official Contact | 3052484877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carlos A Conrado M D P A 151 Nw 11th St Suite E102 Homestead FL 33030-4360 Ph: (305) 248-4877 | Carlos A Conrado M D P A 151 Nw 11th St Suite E102 Homestead FL 33030-4360 Ph: (305) 248-4877 |
NPI Number | 1912023631 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 06/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912023631 | NPI | - | NPPES |
267644300 | Medicaid | FL | |
18453 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0061233 (Florida) | Primary |
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