Mem Preventive Medical Services Llc | |
5180 Overseas Hwy Marathon FL 33050-2624 | |
(305) 517-6995 | |
Not Available |
Full Name | Mem Preventive Medical Services Llc |
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Speciality | Clinic/Center |
Location | 5180 Overseas Hwy, Marathon, Florida |
Authorized Official Name and Position | Mildrey Exposito (CEO) |
Authorized Official Contact | 3055176995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mem Preventive Medical Services Llc 5180 Overseas Hwy Marathon FL 33050-2624 Ph: (305) 517-6995 | Mem Preventive Medical Services Llc 5180 Overseas Hwy Marathon FL 33050-2624 Ph: (305) 517-6995 |
NPI Number | 1174251474 |
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Provider Enumeration Date | 08/13/2022 |
Last Update Date | 08/13/2022 |
Medicare PECOS PAC ID | 4486026986 |
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Medicare Enrollment ID | O20230209001873 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174251474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Mildrey Exposito |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437790045 PECOS PAC ID: 0941632277 Enrollment ID: I20201230001111 |
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