| Oasis Family Practice | |
|
951 Ne 167th St Suite 102 North Miami Beach FL 33162-3711 | |
| (786) 565-9486 | |
| (786) 565-9619 |
| Full Name | Oasis Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 951 Ne 167th St, North Miami Beach, Florida |
| Authorized Official Name and Position | Grace Ann Dwyer (PHYSICIAN) |
| Authorized Official Contact | 3059340961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Family Practice 951 Ne 167th St Suite 102 North Miami Beach FL 33162-3711 Ph: (786) 565-9486 | Oasis Family Practice 951 Ne 167th St Suite 102 North Miami Beach FL 33162-3711 Ph: (786) 565-9486 |
| NPI Number | 1700279114 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 12/11/2015 |
| Medicare PECOS PAC ID | 1052612561 |
|---|---|
| Medicare Enrollment ID | O20151228001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700279114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME 77284 (Florida) | Primary |
| Provider Name | Grace A Dwyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023295946 PECOS PAC ID: 8426114281 Enrollment ID: I20090303000017 |
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