| Geneva Health Pa | |
|
12490 Ne 7th Ave Ste 222 North Miami FL 33161-5660 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Geneva Health Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12490 Ne 7th Ave Ste 222, North Miami, Florida |
| Authorized Official Name and Position | Gregory Ladele (DIRECTOR) |
| Authorized Official Contact | 3054337779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geneva Health Pa 12490 Ne 7th Ave Ste 222 North Miami FL 33161-5660 Ph: () - | Geneva Health Pa 12490 Ne 7th Ave Ste 222 North Miami FL 33161-5660 Ph: (718) 534-0689 |
| NPI Number | 1760135578 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 1052792835 |
|---|---|
| Medicare Enrollment ID | O20220726000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760135578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ayodeji Ladele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548498561 PECOS PAC ID: 0941444764 Enrollment ID: I20130918000202 |
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