East Medicalassociation, Inc. | |
4155 Sw 130th Ave Suite 113 Miami FL 33175-3414 | |
(305) 226-2535 | |
(305) 226-2536 |
Full Name | East Medicalassociation, Inc. |
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Speciality | General Practice |
Location | 4155 Sw 130th Ave, Miami, Florida |
Authorized Official Name and Position | Hermes B Liens (OWNER) |
Authorized Official Contact | 3052262535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Medicalassociation, Inc. 4155 Sw 130th Ave Suite 113 Miami FL 33175-3414 Ph: (305) 226-2535 | East Medicalassociation, Inc. 4155 Sw 130th Ave Suite 113 Miami FL 33175-3414 Ph: (305) 226-2535 |
NPI Number | 1295749646 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 08/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295749646 | NPI | - | NPPES |
003339200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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