First Excellent Therapy Llc | |
175 Fontainbleau Boulevard 1-k Miami FL 33172 | |
(305) 364-5219 | |
(305) 364-5292 |
Full Name | First Excellent Therapy Llc |
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Speciality | Clinic/Center |
Location | 175 Fontainbleau Boulevard, Miami, Florida |
Authorized Official Name and Position | Emilio Ruenes (OWNER) |
Authorized Official Contact | 3053645219 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Excellent Therapy Llc 175 Fontainbleau Boulevard 1-k Miami FL 33172-4511 Ph: (305) 364-5219 | First Excellent Therapy Llc 175 Fontainbleau Boulevard 1-k Miami FL 33172 Ph: (305) 364-5219 |
NPI Number | 1134580848 |
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Provider Enumeration Date | 03/09/2016 |
Last Update Date | 08/03/2018 |
Medicare PECOS PAC ID | 3072869593 |
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Medicare Enrollment ID | O20180712002888 |
Identifier | Type | State | Issuer |
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1134580848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Florida) | Primary |
Provider Name | Marisela Gonzalez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1679500037 PECOS PAC ID: 0446239586 Enrollment ID: I20111010000484 |
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