| Miami Comprehensive Medicine Group Pa | |
|
4685 Ponce De Leon Blvd Coral Gables FL 33146-2108 | |
| (305) 851-2870 | |
| (305) 851-2871 |
| Full Name | Miami Comprehensive Medicine Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4685 Ponce De Leon Blvd, Coral Gables, Florida |
| Authorized Official Name and Position | Heather L Mason (PRESIDENT) |
| Authorized Official Contact | 3058512870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Comprehensive Medicine Group Pa 345 Palermo Ave Coral Gables FL 33134-6607 Ph: (305) 851-2870 | Miami Comprehensive Medicine Group Pa 4685 Ponce De Leon Blvd Coral Gables FL 33146-2108 Ph: (305) 851-2870 |
| NPI Number | 1104101666 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 6002075884 |
|---|---|
| Medicare Enrollment ID | O20120314000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104101666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hilton Gomes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699972984 PECOS PAC ID: 9638222169 Enrollment ID: I20090731000384 |
| Provider Name | Heather L Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891905386 PECOS PAC ID: 8325189624 Enrollment ID: I20100108000596 |
| Provider Name | Ariel Moses |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235472390 PECOS PAC ID: 2860787942 Enrollment ID: I20160829001547 |
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