| Larga Vida Medical Service Llc | |
|
900 E 9th St Hialeah FL 33010-4650 | |
| (305) 381-5294 | |
| (786) 685-2266 |
| Full Name | Larga Vida Medical Service Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 E 9th St, Hialeah, Florida |
| Authorized Official Name and Position | Felix Aguilera (OWNER) |
| Authorized Official Contact | 3053815294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larga Vida Medical Service Llc 900 E 9th St Hialeah FL 33010-4650 Ph: (305) 381-5294 | Larga Vida Medical Service Llc 900 E 9th St Hialeah FL 33010-4650 Ph: (305) 381-5294 |
| NPI Number | 1659995199 |
|---|---|
| Provider Enumeration Date | 06/01/2020 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 6204239015 |
|---|---|
| Medicare Enrollment ID | O20210730000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659995199 | NPI | - | NPPES |
| Provider Name | Thomas A Gionis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638049 PECOS PAC ID: 0547157687 Enrollment ID: I20200409001070 |
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