| Medplan Clinic, Llc | |
|
13903 Nw 67th Ave Ste 250 Miami Lakes FL 33014-2938 | |
| (305) 801-6952 | |
| Not Available |
| Full Name | Medplan Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13903 Nw 67th Ave Ste 250, Miami Lakes, Florida |
| Authorized Official Name and Position | Manuel Iglesias (CEO) |
| Authorized Official Contact | 7866415348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medplan Clinic, Llc 8750 Nw 36th Street Suite 300 Doral FL 33178 Ph: (786) 641-5348 | Medplan Clinic, Llc 13903 Nw 67th Ave Ste 250 Miami Lakes FL 33014-2938 Ph: (305) 801-6952 |
| NPI Number | 1023432507 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 06/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023432507 | NPI | - | NPPES |
| 018781000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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