| Medizon Medical Group Corp | |
|
1235 N Krome Ave Homestead FL 33030-4204 | |
| (786) 224-6000 | |
| (786) 650-2923 |
| Full Name | Medizon Medical Group Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1235 N Krome Ave, Homestead, Florida |
| Authorized Official Name and Position | Iliana Hernandez (PRESIDENT) |
| Authorized Official Contact | 7862246000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medizon Medical Group Corp 1235 N Krome Ave Homestead FL 33030-4204 Ph: (786) 224-6000 | Medizon Medical Group Corp 1235 N Krome Ave Homestead FL 33030-4204 Ph: (786) 224-6000 |
| NPI Number | 1205614708 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 1052757119 |
|---|---|
| Medicare Enrollment ID | O20240311004169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205614708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Iliana Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649371766 PECOS PAC ID: 2264418177 Enrollment ID: I20050420000434 |
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