| Mukamas Llc | |
|
410 W 41st St # 103 Miami Beach FL 33140-3504 | |
| (305) 720-2288 | |
| (217) 771-1814 |
| Full Name | Mukamas Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 410 W 41st St # 103, Miami Beach, Florida |
| Authorized Official Name and Position | Rachael Nambusi (CEO) |
| Authorized Official Contact | 3057444922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mukamas Llc 410 W 41st St # 103 Miami Beach FL 33140-3504 Ph: (305) 720-2288 | Mukamas Llc 410 W 41st St # 103 Miami Beach FL 33140-3504 Ph: (305) 720-2288 |
| NPI Number | 1770210346 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 9537542949 |
|---|---|
| Medicare Enrollment ID | O20220818000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770210346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20161005003084 |
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