| Alliance Healthcare | |
|
9380 Sunset Dr Ste B245 Miami FL 33173-5466 | |
| (305) 223-0570 | |
| (305) 223-0580 |
| Full Name | Alliance Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 9380 Sunset Dr Ste B245, Miami, Florida |
| Authorized Official Name and Position | Yanet Perez (ADMINISTRATOR/DIRECTOR) |
| Authorized Official Contact | 3052230570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Healthcare 9380 Sunset Dr Ste B245 Miami FL 33173-5466 Ph: (305) 223-0570 | Alliance Healthcare 9380 Sunset Dr Ste B245 Miami FL 33173-5466 Ph: (305) 223-0570 |
| NPI Number | 1730690124 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 07/02/2021 |
| Medicare PECOS PAC ID | 7113320821 |
|---|---|
| Medicare Enrollment ID | O20210719002283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730690124 | NPI | - | NPPES |
| 110574000 | Medicaid | FL | |
| 607833 | Other | FL | STATE FLORIDA LICENSE |
| 104811700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew Dattila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902076821 PECOS PAC ID: 9931502663 Enrollment ID: I20210719002770 |
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