Carol City Med Plus Inc | |
18373 Nw 27th Ave Carol City FL 33056-3169 | |
(305) 625-9088 | |
(305) 625-0857 |
Full Name | Carol City Med Plus Inc |
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Speciality | Family Medicine |
Location | 18373 Nw 27th Ave, Carol City, Florida |
Authorized Official Name and Position | Pierre R Bleniur (PRESIDENT) |
Authorized Official Contact | 3056259088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carol City Med Plus Inc 18373 Nw 27th Ave Carol City FL 33056-3169 Ph: (305) 625-9088 | Carol City Med Plus Inc 18373 Nw 27th Ave Carol City FL 33056-3169 Ph: (305) 625-9088 |
NPI Number | 1639168800 |
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Provider Enumeration Date | 10/19/2005 |
Last Update Date | 05/21/2012 |
Medicare PECOS PAC ID | 9739105701 |
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Medicare Enrollment ID | O20051019000245 |
Identifier | Type | State | Issuer |
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1639168800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | HCCR2188 (Florida) | Primary |
Provider Name | Pierre R Blemur |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730177098 PECOS PAC ID: 7214928001 Enrollment ID: I20041022000681 |
Jessie Trice Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3301 Nw 183rd Street, Carol City, FL 33056 Phone: 305-637-6400 Fax: 305-805-1715 |