Mcc Institute Llc | |
1014 Salzedo St Apt 108 Coral Gables FL 33134-2851 | |
(786) 622-8491 | |
Not Available |
Full Name | Mcc Institute Llc |
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Speciality | Clinic/Center |
Location | 1014 Salzedo St Apt 108, Coral Gables, Florida |
Authorized Official Name and Position | Maria Cecilia Mauricio (PRESIDENT) |
Authorized Official Contact | 7866228491 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcc Institute Llc 1014 Salzedo St Apt 108 Coral Gables FL 33134-2851 Ph: (786) 622-8491 | Mcc Institute Llc 1014 Salzedo St Apt 108 Coral Gables FL 33134-2851 Ph: (786) 622-8491 |
NPI Number | 1194327296 |
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Provider Enumeration Date | 11/12/2020 |
Last Update Date | 11/12/2020 |
Medicare PECOS PAC ID | 4880084706 |
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Medicare Enrollment ID | O20211208003472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194327296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Maria C Mauricio |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1811121882 PECOS PAC ID: 1052446952 Enrollment ID: I20100317000677 |
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