| Next Level Medical Center Llc | |
|
10251 Sw 72nd St Ste 102 Miami FL 33173-2957 | |
| (305) 490-2500 | |
| Not Available |
| Full Name | Next Level Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10251 Sw 72nd St Ste 102, Miami, Florida |
| Authorized Official Name and Position | Beverly Johnson (ADMINISTRATOR) |
| Authorized Official Contact | 3053085398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Level Medical Center Llc 7772 Dilido Blvd Miramar FL 33023-6402 Ph: () - | Next Level Medical Center Llc 10251 Sw 72nd St Ste 102 Miami FL 33173-2957 Ph: (305) 490-2500 |
| NPI Number | 1902585623 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0345602702 |
|---|---|
| Medicare Enrollment ID | O20230816003208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902585623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose A Orcasita Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508837964 PECOS PAC ID: 2961488838 Enrollment ID: I20100505000899 |
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