| Novellas's Health Care Llc | |
|
17855 Nw 78th Ave Hialeah FL 33015-2805 | |
| (305) 530-8979 | |
| (305) 530-8979 |
| Full Name | Novellas's Health Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17855 Nw 78th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Jorge Novellas Zayas (OWNER) |
| Authorized Official Contact | 7867173164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novellas's Health Care Llc 17855 Nw 78th Ave Hialeah FL 33015-2805 Ph: (305) 530-8979 | Novellas's Health Care Llc 17855 Nw 78th Ave Hialeah FL 33015-2805 Ph: (305) 530-8979 |
| NPI Number | 1295468684 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 09/21/2022 |
| Medicare PECOS PAC ID | 1850777343 |
|---|---|
| Medicare Enrollment ID | O20221006002513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295468684 | NPI | - | NPPES |
| 1053920173 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge Novellas Zayas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053920173 PECOS PAC ID: 8921484411 Enrollment ID: I20220921001096 |
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