Gravitas Health Llc | |
2608 Anderson Rd Coral Gables FL 33134-4804 | |
(917) 544-5293 | |
Not Available |
Full Name | Gravitas Health Llc |
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Speciality | Internal Medicine |
Location | 2608 Anderson Rd, Coral Gables, Florida |
Authorized Official Name and Position | Candido Anaya (PRINCIPAL) |
Authorized Official Contact | 9175445293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gravitas Health Llc 2608 Anderson Rd Coral Gables FL 33134-4804 Ph: (917) 544-5293 | Gravitas Health Llc 2608 Anderson Rd Coral Gables FL 33134-4804 Ph: (917) 544-5293 |
NPI Number | 1205524600 |
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Provider Enumeration Date | 04/25/2023 |
Last Update Date | 04/25/2023 |
Medicare PECOS PAC ID | 4880054089 |
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Medicare Enrollment ID | O20230719004356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205524600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Pedro A Noya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891957999 PECOS PAC ID: 8325108293 Enrollment ID: I20081121000450 |
Provider Name | Candido J Anaya |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699739078 PECOS PAC ID: 6507768959 Enrollment ID: I20120716000461 |
Provider Name | Dunia Gomez Alejo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992275200 PECOS PAC ID: 4587089610 Enrollment ID: I20200805003267 |
Provider Name | John Herrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417616707 PECOS PAC ID: 0345632428 Enrollment ID: I20220124000058 |
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