| Great Health Medical Fl Pa | |
|
5300 W 16th Ave Hialeah FL 33012-2104 | |
| (212) 201-1252 | |
| Not Available |
| Full Name | Great Health Medical Fl Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5300 W 16th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Ahron Feldman (OWNER) |
| Authorized Official Contact | 2122011252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Health Medical Fl Pa 407 Willoughby Ave Brooklyn NY 11205-4590 Ph: () - | Great Health Medical Fl Pa 5300 W 16th Ave Hialeah FL 33012-2104 Ph: (212) 201-1252 |
| NPI Number | 1093589442 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 2163872136 |
|---|---|
| Medicare Enrollment ID | O20240103002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093589442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janet Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508413063 PECOS PAC ID: 9537499074 Enrollment ID: I20190925002022 |
| Provider Name | Aharon Feldman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235584962 PECOS PAC ID: 8921379249 Enrollment ID: I20240109001252 |
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