| Marco A Nova Md Pa | |
|
6043 Nw 167th St Suite # A1 Hialeah FL 33015-4326 | |
| (305) 821-8282 | |
| (305) 824-3233 |
| Full Name | Marco A Nova Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6043 Nw 167th St, Hialeah, Florida |
| Authorized Official Name and Position | Marco A Nova (OWNER) |
| Authorized Official Contact | 3058218282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marco A Nova Md Pa 6043 Nw 167th St Suite #a1 Hialeah FL 33015-4326 Ph: (305) 821-8282 | Marco A Nova Md Pa 6043 Nw 167th St Suite # A1 Hialeah FL 33015-4326 Ph: (305) 821-8282 |
| NPI Number | 1023207800 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 10/29/2007 |
| Medicare PECOS PAC ID | 2860561586 |
|---|---|
| Medicare Enrollment ID | O20080521000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023207800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME87202 (Florida) | Primary |
| Provider Name | Marco A Nova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376515510 PECOS PAC ID: 5698751543 Enrollment ID: I20040629001525 |
| Provider Name | Dora A Aguilar Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366815037 PECOS PAC ID: 0244533727 Enrollment ID: I20160115000685 |
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