Diabetes And Wound Care Network Inc | |
777 E 25th St Suite 306 Hialeah FL 33013-3825 | |
(305) 455-4284 | |
(305) 455-4285 |
Full Name | Diabetes And Wound Care Network Inc |
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Speciality | Internal Medicine |
Location | 777 E 25th St, Hialeah, Florida |
Authorized Official Name and Position | Dolores Cazau (VP) |
Authorized Official Contact | 3054554284 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetes And Wound Care Network Inc 777 E 25th St Suite 306 Hialeah FL 33013-3825 Ph: (305) 455-4284 | Diabetes And Wound Care Network Inc 777 E 25th St Suite 306 Hialeah FL 33013-3825 Ph: (305) 455-4284 |
NPI Number | 1942657572 |
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Provider Enumeration Date | 05/24/2016 |
Last Update Date | 05/24/2016 |
Medicare PECOS PAC ID | 9537445200 |
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Medicare Enrollment ID | O20170411002623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942657572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME95970 (Florida) | Primary |
Provider Name | Dolores S Cazau |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558478198 PECOS PAC ID: 2365349032 Enrollment ID: I20061102000433 |
Provider Name | Andres Cazau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164531836 PECOS PAC ID: 9436191517 Enrollment ID: I20100626000332 |
Provider Name | Josue A Moran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316427313 PECOS PAC ID: 2062753593 Enrollment ID: I20190410003109 |
Provider Name | Soraya M Medina Delpino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679068936 PECOS PAC ID: 5092142265 Enrollment ID: I20200227002275 |
Provider Name | Patricia Ortiz Riveron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417426222 PECOS PAC ID: 5193106714 Enrollment ID: I20220713003898 |
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