Infinite Cinque Llc | |
26105 Orchard Lake Rd Ste 201 Farmington Hills MI 48334-4578 | |
(248) 910-0206 | |
Not Available |
Full Name | Infinite Cinque Llc |
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Speciality | Clinic/Center |
Location | 26105 Orchard Lake Rd Ste 201, Farmington Hills, Michigan |
Authorized Official Name and Position | Gerlinda Gordon (CEO) |
Authorized Official Contact | 2489100206 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinite Cinque Llc 28811 Felician St Roseville MI 48066-7442 Ph: () - | Infinite Cinque Llc 26105 Orchard Lake Rd Ste 201 Farmington Hills MI 48334-4578 Ph: (248) 910-0206 |
NPI Number | 1932815487 |
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Provider Enumeration Date | 01/27/2023 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 4688046022 |
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Medicare Enrollment ID | O20230210000914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932815487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Gerlinda Marie Gordon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710460282 PECOS PAC ID: 6103165360 Enrollment ID: I20190305002823 |
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