| Cope South | |
|
10225 Sw 147th Ter Miami FL 33176-7744 | |
| (305) 233-1044 | |
| Not Available |
| Full Name | Cope South |
|---|---|
| Speciality | Clinic/Center |
| Location | 10225 Sw 147th Ter, Miami, 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 |
|---|---|
| Cope South 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Cope South 10225 Sw 147th Ter Miami FL 33176-7744 Ph: (305) 233-1044 |
| NPI Number | 1780847517 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 6507770526 |
|---|---|
| Medicare Enrollment ID | O20031204000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780847517 | NPI | - | NPPES |
| 029572819 - FQHC | Medicaid | FL | |
| 029572820 - FFS | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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