| Complete Health Of South Florida Llc | |
|
1150 Nw 72nd Ave Ste 640 Miami FL 33126-1921 | |
| (786) 497-3444 | |
| (786) 706-4900 |
| Full Name | Complete Health Of South Florida Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 Nw 72nd Ave Ste 640, Miami, Florida |
| Authorized Official Name and Position | Carlos Diaz (OWNER) |
| Authorized Official Contact | 7865061786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health Of South Florida Llc 1150 Nw 72nd Ave Miami FL 33126-1936 Ph: (786) 653-7131 | Complete Health Of South Florida Llc 1150 Nw 72nd Ave Ste 640 Miami FL 33126-1921 Ph: (786) 497-3444 |
| NPI Number | 1275138620 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 7012320922 |
|---|---|
| Medicare Enrollment ID | O20210114001902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275138620 | NPI | - | NPPES |
| 108841600 | Medicaid | FL |
| Provider Name | Emelina Acacia Arocha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356343016 PECOS PAC ID: 6608850516 Enrollment ID: I20040617000587 |
| Provider Name | Yvette Niebla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558502369 PECOS PAC ID: 0345569471 Enrollment ID: I20150512000819 |
| Provider Name | Domingo Leal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518975002 PECOS PAC ID: 0840588547 Enrollment ID: I20161012002532 |
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