Frank Depena Md Pa | |
11760 Sw 40th St Suite 701 Miami FL 33175-3582 | |
(305) 227-9339 | |
(305) 553-2842 |
Full Name | Frank Depena Md Pa |
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Speciality | Internal Medicine |
Location | 11760 Sw 40th St, Miami, Florida |
Authorized Official Name and Position | Frank Depena (MEDICAL DOCTOR) |
Authorized Official Contact | 3052279339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Frank Depena Md Pa 11760 Sw 40th St Suite 701 Miami FL 33175-3582 Ph: (305) 227-9339 | Frank Depena Md Pa 11760 Sw 40th St Suite 701 Miami FL 33175-3582 Ph: (305) 227-9339 |
NPI Number | 1912085242 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 09/07/2007 |
Medicare PECOS PAC ID | 6204870108 |
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Medicare Enrollment ID | O20050613000226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912085242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Frank De Pena |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073551958 PECOS PAC ID: 4385688282 Enrollment ID: I20050614000054 |
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