| Loving Care Medical Center Llc | |
|
17801 Nw 2nd Ave Suite 210 Miami FL 33169-5029 | |
| (786) 201-7852 | |
| Not Available |
| Full Name | Loving Care Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17801 Nw 2nd Ave, Miami, Florida |
| Authorized Official Name and Position | Marie Suzy St Cyr (SOLE MBR) |
| Authorized Official Contact | 7862017852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Care Medical Center Llc 17801 Nw 2nd Ave Suite 210 Miami FL 33169-5029 Ph: (786) 201-7852 | Loving Care Medical Center Llc 17801 Nw 2nd Ave Suite 210 Miami FL 33169-5029 Ph: (786) 201-7852 |
| NPI Number | 1013469774 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 03/17/2017 |
| Medicare PECOS PAC ID | 7012292873 |
|---|---|
| Medicare Enrollment ID | O20170320000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013469774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME114010 (Florida) | Primary |
| Provider Name | Marie S St Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841501079 PECOS PAC ID: 1052554250 Enrollment ID: I20130906000223 |
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