Lrb Medical Services P A | |
8805 Nw 179th Ln Hialeah FL 33018-6509 | |
(305) 300-5501 | |
(305) 824-3774 |
Full Name | Lrb Medical Services P A |
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Speciality | General Practice |
Location | 8805 Nw 179th Ln, Hialeah, Florida |
Authorized Official Name and Position | Lidia Rosa Bermudez (PRESIDENT) |
Authorized Official Contact | 3053005501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lrb Medical Services P A 8805 Nw 179th Ln Hialeah FL 33018-6509 Ph: (305) 300-5501 | Lrb Medical Services P A 8805 Nw 179th Ln Hialeah FL 33018-6509 Ph: (305) 300-5501 |
NPI Number | 1447448592 |
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Provider Enumeration Date | 10/12/2007 |
Last Update Date | 05/15/2008 |
Medicare PECOS PAC ID | 4587601174 |
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Medicare Enrollment ID | O20050414000966 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447448592 | NPI | - | NPPES |
68549 | Other | FL | BLUE CROSS BLUE SHIELD FLA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME0091458 (Florida) | Primary |
Provider Name | Lidia R Bermudez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730250663 PECOS PAC ID: 1850338443 Enrollment ID: I20050415000204 |
Provider Name | Nedelis C Buela |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265953756 PECOS PAC ID: 7315287604 Enrollment ID: I20190325000245 |
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