Marley Medical Provider Group, P.a. | |
2332 Galiano St Fl 2 Coral Gables FL 33134-5402 | |
(415) 390-6008 | |
Not Available |
Full Name | Marley Medical Provider Group, P.a. |
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Speciality | General Practice |
Location | 2332 Galiano St Fl 2, Coral Gables, Florida |
Authorized Official Name and Position | Vikram Bakhru (PRESIDENT) |
Authorized Official Contact | 8888281871 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marley Medical Provider Group, P.a. 2332 Galiano St Fl 2 Coral Gables FL 33134-5402 Ph: () - | Marley Medical Provider Group, P.a. 2332 Galiano St Fl 2 Coral Gables FL 33134-5402 Ph: (415) 390-6008 |
NPI Number | 1487301917 |
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Provider Enumeration Date | 03/04/2022 |
Last Update Date | 10/21/2024 |
Medicare PECOS PAC ID | 8022472026 |
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Medicare Enrollment ID | O20230908003087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487301917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Rachel Bennett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497715635 PECOS PAC ID: 0840285177 Enrollment ID: I20230908003237 |
Provider Name | Amanda Marie Simone-belin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427444249 PECOS PAC ID: 2961751029 Enrollment ID: I20230913002526 |
Provider Name | Kristina Bartelt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447619010 PECOS PAC ID: 3375849508 Enrollment ID: I20231219002336 |
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