| Meraki Medical Center Llc | |
|
12565 Orange Dr Ste 401 Davie FL 33330-4305 | |
| (954) 998-7574 | |
| (954) 251-4846 |
| Full Name | Meraki Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12565 Orange Dr Ste 401, Davie, Florida |
| Authorized Official Name and Position | Lydia Arvelo (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9549987574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meraki Medical Center Llc 12565 Orange Dr Ste 401 Davie FL 33330-4305 Ph: (954) 998-7574 | Meraki Medical Center Llc 12565 Orange Dr Ste 401 Davie FL 33330-4305 Ph: (954) 998-7574 |
| NPI Number | 1740896281 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740896281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
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