Lifecare Med Center Llc | |
3011 W Flagler St Miami FL 33135-1222 | |
(305) 400-2255 | |
(305) 400-2245 |
Full Name | Lifecare Med Center Llc |
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Speciality | Family Medicine |
Location | 3011 W Flagler St, Miami, Florida |
Authorized Official Name and Position | Roxana Estevez (PRESIDENT) |
Authorized Official Contact | 3053031638 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifecare Med Center Llc 3011 W Flagler St Miami FL 33135-1222 Ph: (305) 400-2255 | Lifecare Med Center Llc 3011 W Flagler St Miami FL 33135-1222 Ph: (305) 400-2255 |
NPI Number | 1659092286 |
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Provider Enumeration Date | 09/12/2022 |
Last Update Date | 09/12/2022 |
Medicare PECOS PAC ID | 5698141216 |
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Medicare Enrollment ID | O20221021001078 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659092286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Aramis Fernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972784973 PECOS PAC ID: 1254400302 Enrollment ID: I20080515000651 |
Provider Name | Betty Albo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619409653 PECOS PAC ID: 6002180601 Enrollment ID: I20221021001412 |
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