| Med One Medical Center | |
|
486 Fisherman St Opa Locka FL 33054-3818 | |
| (305) 688-5456 | |
| (305) 688-1661 |
| Full Name | Med One Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 486 Fisherman St, Opa Locka, Florida |
| Authorized Official Name and Position | Pierre R Blemur (PRESIDENT) |
| Authorized Official Contact | 3056885456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med One Medical Center 486 Fisherman St Opa Locka FL 33054-3818 Ph: (305) 688-5456 | Med One Medical Center 486 Fisherman St Opa Locka FL 33054-3818 Ph: (305) 688-5456 |
| NPI Number | 1780776401 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 1254580277 |
|---|---|
| Medicare Enrollment ID | O20121008000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780776401 | NPI | - | NPPES |
| ME34811 | Other | CARMEN URIBE LICENSE | |
| ME67381 | Other | LAILA CHAGANI LICENSE | |
| ME45180 | Other | PIERRE BLEMUR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3262 (Florida) | Primary |
| Provider Name | Pierre R Blemur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730177098 PECOS PAC ID: 7214928001 Enrollment ID: I20041022000681 |
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