| Health & Wellness Evolution Co. | |
|
6905 Nw 77th Ave Miami FL 33166-2835 | |
| (786) 717-7656 | |
| (786) 254-7439 |
| Full Name | Health & Wellness Evolution Co. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6905 Nw 77th Ave, Miami, Florida |
| Authorized Official Name and Position | Miguel Rios (PRESIDENT) |
| Authorized Official Contact | 7867177656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health & Wellness Evolution Co. 6905 Nw 77th Ave Miami FL 33166-2835 Ph: (786) 717-7656 | Health & Wellness Evolution Co. 6905 Nw 77th Ave Miami FL 33166-2835 Ph: (786) 717-7656 |
| NPI Number | 1528428372 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 0143556423 |
|---|---|
| Medicare Enrollment ID | O20190724001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528428372 | NPI | - | NPPES |
| Provider Name | Benjamin Krasne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306189832 PECOS PAC ID: 4880961515 Enrollment ID: I20170530001239 |
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