| Chi Mobile Medical Van | |
|
10300 Sw 216th St Cutler Bay FL 33190-1003 | |
| (305) 253-5100 | |
| Not Available |
| Full Name | Chi Mobile Medical Van |
|---|---|
| Speciality | Clinic/Center |
| Location | 10300 Sw 216th St, Cutler Bay, Florida |
| Authorized Official Name and Position | Jeremy David Radziewicz (CFO) |
| Authorized Official Contact | 3052326047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi Mobile Medical Van 10300 Sw 216th St Cutler Bay FL 33190-1003 Ph: (305) 253-5100 | Chi Mobile Medical Van 10300 Sw 216th St Cutler Bay FL 33190-1003 Ph: (305) 253-5100 |
| NPI Number | 1942822242 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 6507770526 |
|---|---|
| Medicare Enrollment ID | O20201106001493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942822242 | NPI | - | NPPES |
| 060303122 | Medicaid | FL | |
| 060303124 | Medicaid | FL | |
| 1336152347 | Other | FL | NPI |
| 029572800 | Medicaid | FL |
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