| F & N Provider Services, Inc | |
|
845 Nw119 Th Street Miami FL 33168-2336 | |
| (305) 318-1252 | |
| Not Available |
| Full Name | F & N Provider Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 845 Nw119 Th Street, Miami, Florida |
| Authorized Official Name and Position | Lucner Nelson (PRESIDENT) |
| Authorized Official Contact | 3053181252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F & N Provider Services, Inc 843 Nw119 Th Street Miami FL 33168-2336 Ph: (305) 318-1252 | F & N Provider Services, Inc 845 Nw119 Th Street Miami FL 33168-2336 Ph: (305) 318-1252 |
| NPI Number | 1235554973 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 04/30/2014 |
| Medicare PECOS PAC ID | 7113140427 |
|---|---|
| Medicare Enrollment ID | O20140513002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235554973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 107333 (Florida) | Primary |
| Provider Name | Tomas Wharton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003157017 PECOS PAC ID: 2769628775 Enrollment ID: I20160113002208 |
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