| Madigson Soria Md Corp | |
|
1893 W 68th St Hialeah FL 33014-4438 | |
| (305) 494-2236 | |
| (239) 443-4516 |
| Full Name | Madigson Soria Md Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1893 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Madigson R Soria (PRESIDENT) |
| Authorized Official Contact | 3054942236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madigson Soria Md Corp 1893 W 68th St Hialeah FL 33014-4438 Ph: (305) 494-2236 | Madigson Soria Md Corp 1893 W 68th St Hialeah FL 33014-4438 Ph: (305) 494-2236 |
| NPI Number | 1295483113 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Medicare PECOS PAC ID | 1456748961 |
|---|---|
| Medicare Enrollment ID | O20220503000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295483113 | NPI | - | NPPES |
| Provider Name | Madigson R Soria |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649588112 PECOS PAC ID: 5193043867 Enrollment ID: I20150408001906 |
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