| Gift Of Health Medical, Llc | |
|
8765 Sw 165th Ave Ste 106 Miami FL 33193-5832 | |
| (305) 728-0605 | |
| (786) 408-5997 |
| Full Name | Gift Of Health Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8765 Sw 165th Ave Ste 106, Miami, Florida |
| Authorized Official Name and Position | Jose R Perez (OWNER) |
| Authorized Official Contact | 3057280605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gift Of Health Medical, Llc 8765 Sw 165th Ave Ste 106 Miami FL 33193-5832 Ph: (305) 728-0605 | Gift Of Health Medical, Llc 8765 Sw 165th Ave Ste 106 Miami FL 33193-5832 Ph: (305) 728-0605 |
| NPI Number | 1194312165 |
|---|---|
| Provider Enumeration Date | 12/24/2020 |
| Last Update Date | 09/05/2021 |
| Medicare PECOS PAC ID | 4385050897 |
|---|---|
| Medicare Enrollment ID | O20210309000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194312165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jose Ramon Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508108390 PECOS PAC ID: 1254638166 Enrollment ID: I20160321000915 |
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