| Egg Health Center Corp | |
|
6450 W 21st Ct Ste 201 Hialeah FL 33016-3942 | |
| (305) 497-5146 | |
| (305) 847-2492 |
| Full Name | Egg Health Center Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 6450 W 21st Ct Ste 201, Hialeah, Florida |
| Authorized Official Name and Position | Eliosdanis Galan Garcia (CEO) |
| Authorized Official Contact | 3054975146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Egg Health Center Corp 6450 W 21st Ct Ste 201 Hialeah FL 33016-3942 Ph: (305) 497-5146 | Egg Health Center Corp 6450 W 21st Ct Ste 201 Hialeah FL 33016-3942 Ph: (305) 497-5146 |
| NPI Number | 1598541807 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 1759730757 |
|---|---|
| Medicare Enrollment ID | O20231215003410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598541807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eliosdanis Galan Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659859007 PECOS PAC ID: 2466882378 Enrollment ID: I20200416002501 |
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