| Leela Care Llc | |
|
12550 Biscayne Blvd Ste 304 North Miami FL 33181-2541 | |
| (305) 608-6171 | |
| Not Available |
| Full Name | Leela Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12550 Biscayne Blvd Ste 304, North Miami, Florida |
| Authorized Official Name and Position | Jeremy Fox (OWNER) |
| Authorized Official Contact | 3056086171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leela Care Llc 12550 Biscayne Blvd Ste 304 North Miami FL 33181-2541 Ph: (305) 608-6171 | Leela Care Llc 12550 Biscayne Blvd Ste 304 North Miami FL 33181-2541 Ph: (305) 608-6171 |
| NPI Number | 1093533929 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 8921533027 |
|---|---|
| Medicare Enrollment ID | O20241126003670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093533929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin B Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477510311 PECOS PAC ID: 0345418166 Enrollment ID: I20110722000164 |
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