| Jc Medical Office Inc | |
|
3300 W 84th St Bay # 16 Hialeah FL 33018-4903 | |
| (305) 456-9267 | |
| (305) 456-9394 |
| Full Name | Jc Medical Office Inc |
|---|---|
| Speciality | General Practice |
| Location | 3300 W 84th St, Hialeah, Florida |
| Authorized Official Name and Position | Jesus Reales (PRESIDENT) |
| Authorized Official Contact | 3054569267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Medical Office Inc 3300 W 84th St Bay # 16 Hialeah FL 33018-4903 Ph: (305) 456-9267 | Jc Medical Office Inc 3300 W 84th St Bay # 16 Hialeah FL 33018-4903 Ph: (305) 456-9267 |
| NPI Number | 1548357783 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 04/13/2016 |
| Medicare PECOS PAC ID | 1951364918 |
|---|---|
| Medicare Enrollment ID | O20041110000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548357783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Florida) | Primary |
| Provider Name | Jesus A Reales |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679556740 PECOS PAC ID: 9830159649 Enrollment ID: I20041015000703 |
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