| Institute Of Preventive Medicine, Llc | |
|
1275 W 47th Pl Suite 422 Hialeah FL 33012-3394 | |
| (305) 676-2300 | |
| (888) 601-0076 |
| Full Name | Institute Of Preventive Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1275 W 47th Pl, Hialeah, Florida |
| Authorized Official Name and Position | Otniel Hernandez (CEO) |
| Authorized Official Contact | 3056762300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Preventive Medicine, Llc 1275 W 47th Pl Suite 422 Hialeah FL 33012-3394 Ph: (305) 676-2300 | Institute Of Preventive Medicine, Llc 1275 W 47th Pl Suite 422 Hialeah FL 33012-3394 Ph: (305) 676-2300 |
| NPI Number | 1902195191 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902195191 | NPI | - | NPPES |
| 308614300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP3081082 (Florida) | Primary |
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