| Endocrine Solutions Of South Fl | |
|
2695 S Le Jeune Rd Suite 203 Coral Gables FL 33134-5839 | |
| (305) 672-8559 | |
| (305) 672-9259 |
| Full Name | Endocrine Solutions Of South Fl |
|---|---|
| Speciality | Internal Medicine |
| Location | 2695 S Le Jeune Rd, Coral Gables, Florida |
| Authorized Official Name and Position | Misha Denham (PRESIDENT) |
| Authorized Official Contact | 3056728559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Solutions Of South Fl 2695 S Le Jeune Rd Suite 203 Coral Gables FL 33134-5839 Ph: (305) 672-8559 | Endocrine Solutions Of South Fl 2695 S Le Jeune Rd Suite 203 Coral Gables FL 33134-5839 Ph: (305) 672-8559 |
| NPI Number | 1164712048 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 3375728769 |
|---|---|
| Medicare Enrollment ID | O20110428000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164712048 | NPI | - | NPPES |
| 003734400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | OS9157 (Florida) | Primary |
| Provider Name | Misha Denham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689659096 PECOS PAC ID: 7810086535 Enrollment ID: I20071204000269 |
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