| Coverall Medical Center Corp | |
|
61 Hook Sq Miami Springs FL 33166-4401 | |
| (305) 884-8880 | |
| (786) 866-5984 |
| Full Name | Coverall Medical Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 Hook Sq, Miami Springs, Florida |
| Authorized Official Name and Position | Gladys L Andrade (OWNER) |
| Authorized Official Contact | 3058848880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coverall Medical Center Corp 61 Hook Sq Miami Springs FL 33166-4401 Ph: (305) 884-8880 | Coverall Medical Center Corp 61 Hook Sq Miami Springs FL 33166-4401 Ph: (305) 884-8880 |
| NPI Number | 1427484112 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 07/21/2014 |
| Medicare PECOS PAC ID | 5991924086 |
|---|---|
| Medicare Enrollment ID | O20140923001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427484112 | NPI | - | NPPES |
| 009655600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gladys Lizzette Andrade |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740545201 PECOS PAC ID: 3779732953 Enrollment ID: I20130423000297 |
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