Olivos Medical Center And Spa, Llc | |
25001 Sw 127th Ave Ste 202 Homestead FL 33032-5834 | |
(786) 317-7495 | |
Not Available |
Full Name | Olivos Medical Center And Spa, Llc |
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Speciality | Family Medicine |
Location | 25001 Sw 127th Ave Ste 202, Homestead, Florida |
Authorized Official Name and Position | Rene David Sifontes Mejias (OWNER) |
Authorized Official Contact | 7863177495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Olivos Medical Center And Spa, Llc 25001 Sw 127th Ave Ste 202 Homestead FL 33032-5834 Ph: (786) 317-7495 | Olivos Medical Center And Spa, Llc 25001 Sw 127th Ave Ste 202 Homestead FL 33032-5834 Ph: (786) 317-7495 |
NPI Number | 1336912633 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 08/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336912633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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