| Internal Medicine Associates Of South Florida, P.a. | |
|
1380 Ne Miami Gardens Dr Ste 100 North Miami Beach FL 33179-4708 | |
| (305) 940-6973 | |
| (305) 949-6973 |
| Full Name | Internal Medicine Associates Of South Florida, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1380 Ne Miami Gardens Dr Ste 100, North Miami Beach, Florida |
| Authorized Official Name and Position | Dennis J Oleary (OWNER) |
| Authorized Official Contact | 3059406973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of South Florida, P.a. 1380 Ne Miami Gardens Dr Ste 100 North Miami Beach FL 33179-4708 Ph: (305) 940-6973 | Internal Medicine Associates Of South Florida, P.a. 1380 Ne Miami Gardens Dr Ste 100 North Miami Beach FL 33179-4708 Ph: (305) 940-6973 |
| NPI Number | 1659592319 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 10/22/2009 |
| Medicare PECOS PAC ID | 3577759893 |
|---|---|
| Medicare Enrollment ID | O20101130000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659592319 | NPI | - | NPPES |
| 254769400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS000438 (Florida) | Primary |
| Provider Name | Dennis Oleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851464671 PECOS PAC ID: 8729275607 Enrollment ID: I20101203000857 |
| Provider Name | Gaston Rafael Moran Celayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285965871 PECOS PAC ID: 3072708791 Enrollment ID: I20161028001017 |
| Provider Name | Ovidiu Ghita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518228121 PECOS PAC ID: 3678891660 Enrollment ID: I20171023002097 |
| Provider Name | Rosanna Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437670478 PECOS PAC ID: 1153652409 Enrollment ID: I20191017001088 |
| Provider Name | Cynthia Hazim-camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548855455 PECOS PAC ID: 9931517521 Enrollment ID: I20210420002181 |
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