| Florida Compassionate | |
|
1161 Ne 202nd St Miami FL 33179-2621 | |
| (786) 532-6103 | |
| Not Available |
| Full Name | Florida Compassionate |
|---|---|
| Speciality | Family Medicine |
| Location | 1161 Ne 202nd St, Miami, Florida |
| Authorized Official Name and Position | Al Berry (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8000000000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Compassionate 1161 Ne 202nd St Miami FL 33179-2621 Ph: (786) 532-6103 | Florida Compassionate 1161 Ne 202nd St Miami FL 33179-2621 Ph: (786) 532-6103 |
| NPI Number | 1447951397 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 05/20/2023 |
| Medicare PECOS PAC ID | 4486013737 |
|---|---|
| Medicare Enrollment ID | O20230705000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447951397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nadege Boisvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225449416 PECOS PAC ID: 0749649093 Enrollment ID: I20230705000368 |
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