Genesis Health Center Llc | |
50 Lindsey Ct Ste 101-103 Hialeah FL 33010-5243 | |
(954) 643-3848 | |
Not Available |
Full Name | Genesis Health Center Llc |
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Speciality | Family Medicine |
Location | 50 Lindsey Ct Ste 101-103, Hialeah, Florida |
Authorized Official Name and Position | Mirian Gomez (MGR) |
Authorized Official Contact | 9546433848 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesis Health Center Llc 5881 Nw 151st St Ste 112 Miami Lakes FL 33014-2455 Ph: (954) 643-3848 | Genesis Health Center Llc 50 Lindsey Ct Ste 101-103 Hialeah FL 33010-5243 Ph: (954) 643-3848 |
NPI Number | 1518522275 |
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Provider Enumeration Date | 05/07/2019 |
Last Update Date | 09/11/2023 |
Medicare PECOS PAC ID | 7315324894 |
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Medicare Enrollment ID | O20220523001790 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518522275 | NPI | - | NPPES |
Provider Name | Angel E Sanchez Artiles |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518499979 PECOS PAC ID: 8123305505 Enrollment ID: I20201222002051 |
Provider Name | Ninedty Cordova Muniz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689389686 PECOS PAC ID: 6608220462 Enrollment ID: I20230927002207 |
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