| Greenmed Senior Medical Centers Llc | |
|
428 Ne 125th St North Miami FL 33161-4717 | |
| (305) 895-9551 | |
| (305) 895-9553 |
| Full Name | Greenmed Senior Medical Centers Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 428 Ne 125th St, North Miami, Florida |
| Authorized Official Name and Position | Barrett Green (OWNER) |
| Authorized Official Contact | 3058959551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenmed Senior Medical Centers Llc 428 Ne 125th St North Miami FL 33161-4717 Ph: (305) 895-9551 | Greenmed Senior Medical Centers Llc 428 Ne 125th St North Miami FL 33161-4717 Ph: (305) 895-9551 |
| NPI Number | 1164931457 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164931457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 134641434936 (Florida) | Primary |
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