| Advanced Practitioner Care | |
|
13750 Nw 107th Ave Ste 204 Miami Lakes FL 33018-1278 | |
| (305) 423-9677 | |
| (786) 558-5368 |
| Full Name | Advanced Practitioner Care |
|---|---|
| Speciality | Family Medicine |
| Location | 13750 Nw 107th Ave Ste 204, Miami Lakes, Florida |
| Authorized Official Name and Position | Annery Diaz (PRESIDENT) |
| Authorized Official Contact | 7865140483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practitioner Care 13750 Nw 107th Ave Ste 204 Miami Lakes FL 33018-1278 Ph: (305) 423-9677 | Advanced Practitioner Care 13750 Nw 107th Ave Ste 204 Miami Lakes FL 33018-1278 Ph: (305) 423-9677 |
| NPI Number | 1750013454 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 2163891573 |
|---|---|
| Medicare Enrollment ID | O20221207000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750013454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Annery Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134421167 PECOS PAC ID: 8022295070 Enrollment ID: I20110531000695 |
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