Dm Family Care Llc | |
14771 Sw 184th St Miami FL 33187-4114 | |
(786) 250-5451 | |
Not Available |
Full Name | Dm Family Care Llc |
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Speciality | Clinic/Center |
Location | 14771 Sw 184th St, Miami, Florida |
Authorized Official Name and Position | Delio Mendoza (C.E.O) |
Authorized Official Contact | 7863525393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dm Family Care Llc 14771 Sw 184th St Miami FL 33187-4114 Ph: (786) 352-5393 | Dm Family Care Llc 14771 Sw 184th St Miami FL 33187-4114 Ph: (786) 250-5451 |
NPI Number | 1306508098 |
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Provider Enumeration Date | 10/10/2021 |
Last Update Date | 03/10/2022 |
Medicare PECOS PAC ID | 2961898465 |
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Medicare Enrollment ID | O20220411000290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306508098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Maria T Nualart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306887922 PECOS PAC ID: 4486544764 Enrollment ID: I20040325001188 |
Provider Name | Delio Mendoza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306340054 PECOS PAC ID: 4183952914 Enrollment ID: I20190819000406 |
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