Medical Health Services Of South Florida | |
1401 E 4th Ave Ste 204 Hialeah FL 33010-3504 | |
(305) 885-9999 | |
Not Available |
Full Name | Medical Health Services Of South Florida |
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Speciality | Family Medicine |
Location | 1401 E 4th Ave Ste 204, Hialeah, Florida |
Authorized Official Name and Position | Douglas Villalba (ADMINISTRATOR) |
Authorized Official Contact | 7862907428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Health Services Of South Florida 1401 E 4th Ave Ste 204 Hialeah FL 33010-3504 Ph: (305) 885-9999 | Medical Health Services Of South Florida 1401 E 4th Ave Ste 204 Hialeah FL 33010-3504 Ph: (305) 885-9999 |
NPI Number | 1316524432 |
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Provider Enumeration Date | 03/25/2021 |
Last Update Date | 06/29/2023 |
Medicare PECOS PAC ID | 9931508926 |
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Medicare Enrollment ID | O20210525000150 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316524432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Alina M Alvarez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497261721 PECOS PAC ID: 8022417021 Enrollment ID: I20210525000697 |
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