Jf Primary Care Md Pa | |
8200 Sw 117th Ave Ste 314 Miami FL 33183-4826 | |
(305) 274-6422 | |
(305) 274-5707 |
Full Name | Jf Primary Care Md Pa |
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Speciality | Internal Medicine |
Location | 8200 Sw 117th Ave Ste 314, Miami, Florida |
Authorized Official Name and Position | Jorge Fleites (OWNER) |
Authorized Official Contact | 3052746422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jf Primary Care Md Pa 8200 Sw 117th Ave Ste 314 Miami FL 33183-4826 Ph: (305) 274-6422 | Jf Primary Care Md Pa 8200 Sw 117th Ave Ste 314 Miami FL 33183-4826 Ph: (305) 274-6422 |
NPI Number | 1578191870 |
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Provider Enumeration Date | 03/31/2020 |
Last Update Date | 03/31/2020 |
Medicare PECOS PAC ID | 8729419908 |
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Medicare Enrollment ID | O20200505000201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578191870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jorge Fleites |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508899709 PECOS PAC ID: 2264413087 Enrollment ID: I20040527000679 |
Provider Name | Melissa M Santana |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982954392 PECOS PAC ID: 4486882123 Enrollment ID: I20140102000481 |
Provider Name | Monica De La Torre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922387182 PECOS PAC ID: 2860890365 Enrollment ID: I20211014000674 |
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