| Cutler Ridge Medical Center Llc | |
|
10700 Caribbean Blvd Suite 315 Cutler Bay FL 33189-1232 | |
| (305) 238-2961 | |
| (305) 238-2618 |
| Full Name | Cutler Ridge Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10700 Caribbean Blvd, Cutler Bay, Florida |
| Authorized Official Name and Position | Wayne M Williams (MGMR) |
| Authorized Official Contact | 3052382961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cutler Ridge Medical Center Llc 10700 Caribbean Blvd Suite 315 Cutler Bay FL 33189-1232 Ph: (305) 238-2961 | Cutler Ridge Medical Center Llc 10700 Caribbean Blvd Suite 315 Cutler Bay FL 33189-1232 Ph: (305) 238-2961 |
| NPI Number | 1659505881 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 04/19/2011 |
| Medicare PECOS PAC ID | 3971769084 |
|---|---|
| Medicare Enrollment ID | O20120718000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659505881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME39949 (Florida) | Primary |
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