| Medisun Medical Center Inc | |
|
13886 W Dixie Hwy North Miami FL 33161-3343 | |
| (305) 488-0301 | |
| (786) 228-1659 |
| Full Name | Medisun Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13886 W Dixie Hwy, North Miami, Florida |
| Authorized Official Name and Position | Monica Schloeter (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3054880301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medisun Medical Center Inc 13886 W Dixie Hwy North Miami FL 33161-3343 Ph: (305) 488-0301 | Medisun Medical Center Inc 13886 W Dixie Hwy North Miami FL 33161-3343 Ph: (305) 488-0301 |
| NPI Number | 1285480350 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 6406395656 |
|---|---|
| Medicare Enrollment ID | O20240831000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285480350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ingrid Mixter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609969807 PECOS PAC ID: 1254430317 Enrollment ID: I20070702000060 |
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