| Jose M Bermudez Md Pa | |
|
11333 W Flagler St Miami FL 33174-1148 | |
| (305) 553-5003 | |
| (305) 553-6156 |
| Full Name | Jose M Bermudez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11333 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Jose M Bermudez (PRESIDENT) |
| Authorized Official Contact | 3059865351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M Bermudez Md Pa 16023 Sw 43rd St Miami FL 33185-3833 Ph: (305) 553-5003 | Jose M Bermudez Md Pa 11333 W Flagler St Miami FL 33174-1148 Ph: (305) 553-5003 |
| NPI Number | 1396777645 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 09/18/2014 |
| Medicare PECOS PAC ID | 5597859967 |
|---|---|
| Medicare Enrollment ID | O20070915000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396777645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Sara H Acevedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265457220 PECOS PAC ID: 2567438575 Enrollment ID: I20040909000939 |
| Provider Name | Jose M Bermudez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770508731 PECOS PAC ID: 1951365675 Enrollment ID: I20041112000843 |
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