Endocrine Health And Wellness Of South Florida | |
12060 Sw 129th Ct Ste 205 Miami FL 33186-4582 | |
(786) 592-2744 | |
(949) 404-6517 |
Full Name | Endocrine Health And Wellness Of South Florida |
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Speciality | Internal Medicine |
Location | 12060 Sw 129th Ct Ste 205, Miami, Florida |
Authorized Official Name and Position | Theresa Maria Collier (OWNER) |
Authorized Official Contact | 3059512152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrine Health And Wellness Of South Florida 14720 Jackson St Miami FL 33176-7450 Ph: (305) 951-2152 | Endocrine Health And Wellness Of South Florida 12060 Sw 129th Ct Ste 205 Miami FL 33186-4582 Ph: (786) 592-2744 |
NPI Number | 1912459272 |
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Provider Enumeration Date | 11/02/2016 |
Last Update Date | 05/05/2020 |
Medicare PECOS PAC ID | 3779824032 |
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Medicare Enrollment ID | O20190415001255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912459272 | NPI | - | NPPES |
1205123742 | Other | FL | NPI NUMBER |
006303500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
261QM2500X | Clinic/center - Medical Specialty | OS11351 (Florida) | Secondary |
Provider Name | Theresa M Collier |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205123742 PECOS PAC ID: 9335307479 Enrollment ID: I20120221000847 |
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