| Innovative Care Inc | |
|
12600 Pembroke Rd Suite 100 Miramar FL 33027-2544 | |
| (954) 432-5400 | |
| (877) 671-4101 |
| Full Name | Innovative Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12600 Pembroke Rd, Miramar, Florida |
| Authorized Official Name and Position | Gokhan Guvenli (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9544509595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Care Inc 1 Sw 129th Ave Suite 109 Pembroke Pines FL 33027-1761 Ph: (954) 450-9595 | Innovative Care Inc 12600 Pembroke Rd Suite 100 Miramar FL 33027-2544 Ph: (954) 432-5400 |
| NPI Number | 1417169210 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8123182938 |
|---|---|
| Medicare Enrollment ID | O20090122000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417169210 | NPI | - | NPPES |
| BF602 | Other | FL | GROUP MEDICARE # |
| BW654Z | Other | FL | DR. MARTINEZ MEDICARE |
| CA283W | Other | FL | DR. GUVENLI MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10374 (Florida) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME53538 (Florida) | Primary |
| Provider Name | Carolyn Maldonado Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669669578 PECOS PAC ID: 6103999545 Enrollment ID: I20080718000252 |
| Provider Name | Gokhan Guvenli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043249923 PECOS PAC ID: 5496836538 Enrollment ID: I20090814000285 |
| Provider Name | Sonia Madera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548531981 PECOS PAC ID: 1759522840 Enrollment ID: I20130801000557 |
| Provider Name | Luis Gabriel Cedeno Abreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457703977 PECOS PAC ID: 3173865102 Enrollment ID: I20230712003414 |
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