Morlani Medical Center | |
12427 Fairlawn Dr Riverview FL 33579-3900 | |
(561) 951-8449 | |
Not Available |
Full Name | Morlani Medical Center |
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Speciality | Clinic/Center |
Location | 12427 Fairlawn Dr, Riverview, Florida |
Authorized Official Name and Position | Delani Lima (OWNER) |
Authorized Official Contact | 5619518449 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Morlani Medical Center 12427 Fairlawn Dr Riverview FL 33579-3900 Ph: (561) 951-8449 | Morlani Medical Center 12427 Fairlawn Dr Riverview FL 33579-3900 Ph: (561) 951-8449 |
NPI Number | 1518615855 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 03/15/2022 |
Medicare PECOS PAC ID | 0244619427 |
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Medicare Enrollment ID | O20220617001292 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518615855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Delani Lima |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114434354 PECOS PAC ID: 9234518416 Enrollment ID: I20220805000614 |
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