Dedicated Senior Medical Center | |
1395 Nw 167th St Miami Gardens FL 33169-5710 | |
(305) 628-6117 | |
Not Available |
Full Name | Dedicated Senior Medical Center |
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Speciality | Internal Medicine |
Location | 1395 Nw 167th St, Miami Gardens, Florida |
Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3058314722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dedicated Senior Medical Center 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 | Dedicated Senior Medical Center 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 |
NPI Number | 1780333021 |
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Provider Enumeration Date | 03/23/2022 |
Last Update Date | 10/31/2024 |
Medicare PECOS PAC ID | 5597142315 |
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Medicare Enrollment ID | O20220517002731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780333021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Arthur K Kennedy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962428318 PECOS PAC ID: 4688587801 Enrollment ID: I20100429000346 |
Provider Name | Damaris Mcclain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699007625 PECOS PAC ID: 0143281626 Enrollment ID: I20110124000469 |
Provider Name | Shante Gleaton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699248369 PECOS PAC ID: 1153662606 Enrollment ID: I20190409003653 |
Provider Name | Maina Gatonye |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821192477 PECOS PAC ID: 4385679927 Enrollment ID: I20220517002791 |
Provider Name | Susan Schayes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720183254 PECOS PAC ID: 5698806701 Enrollment ID: I20220615001708 |
Provider Name | Ashley Roxanne Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346700796 PECOS PAC ID: 9234511395 Enrollment ID: I20220805001379 |
Provider Name | Meera Kelley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790968444 PECOS PAC ID: 1850340613 Enrollment ID: I20230112000716 |
Provider Name | Haresh Kumar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528267770 PECOS PAC ID: 5193879815 Enrollment ID: I20230227002576 |
Provider Name | Beatrice Deshommes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659382414 PECOS PAC ID: 0244239937 Enrollment ID: I20231204002808 |
Family Med Choice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18356 Nw 47th Ave, Miami Gardens, FL 33055 Phone: 305-620-7155 | |
Medcare Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4767 Nw 183rd St, Miami Gardens, FL 33055 Phone: 305-266-2929 Fax: 786-558-0242 | |
Jessie Trice Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20612 Nw 27th Ave, Miami Gardens, FL 33056 Phone: 305-637-6400 Fax: 305-805-1715 | |
Ciartes Medical Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18350 Nw 2nd Ave Ste 622, Miami Gardens, FL 33169 Phone: 786-985-4752 | |
Aaron Medical Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19509 Nw 57th Ave, Miami Gardens, FL 33055 Phone: 754-465-3003 Fax: 866-552-0934 | |
Spetro And Associates Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Nw 183rd St, Miami Gardens, FL 33169 Phone: 786-230-3577 | |
Alive And Well Community Partners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Nw 2nd Ave 5th Floor Ph 7, Miami Gardens, FL 33169 Phone: 800-434-1366 |