Miami Endocrinology Specialists | |
1400 Ne Miami Gardens Dr Ste 104 Miami FL 33179-4843 | |
(305) 814-8637 | |
(877) 500-7327 |
Full Name | Miami Endocrinology Specialists |
---|---|
Speciality | Internal Medicine |
Location | 1400 Ne Miami Gardens Dr Ste 104, Miami, Florida |
Authorized Official Name and Position | Anthony Ceniza Domingo (PHYSICIAN) |
Authorized Official Contact | 3057942025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Miami Endocrinology Specialists 7048 W 17th Ct Hialeah FL 33014-4419 Ph: (305) 794-2025 | Miami Endocrinology Specialists 1400 Ne Miami Gardens Dr Ste 104 Miami FL 33179-4843 Ph: (305) 814-8637 |
NPI Number | 1649726167 |
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Provider Enumeration Date | 08/26/2016 |
Last Update Date | 12/27/2016 |
Medicare PECOS PAC ID | 3870875461 |
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Medicare Enrollment ID | O20170113001948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649726167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Anthony C Domingo |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1801069893 PECOS PAC ID: 9830343425 Enrollment ID: I20130207000081 |
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