| Evolution Health Group Llc | |
|
350 Lincoln Rd Fl 2 Miami Beach FL 33139-3183 | |
| (305) 317-1081 | |
| Not Available |
| Full Name | Evolution Health Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Lincoln Rd Fl 2, Miami Beach, Florida |
| Authorized Official Name and Position | Sheridan Price (MANAGER) |
| Authorized Official Contact | 2404757200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Health Group Llc 350 Lincoln Rd Fl 2 Miami Beach FL 33139-3183 Ph: (305) 317-1081 | Evolution Health Group Llc 350 Lincoln Rd Fl 2 Miami Beach FL 33139-3183 Ph: (305) 317-1081 |
| NPI Number | 1780399915 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 4789056052 |
|---|---|
| Medicare Enrollment ID | O20230214003253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780399915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20180901000154 |
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