| Olympus Medical Wellness Center Corp | |
|
468 Nw 27th Ave Miami FL 33125-3040 | |
| (786) 706-5100 | |
| Not Available |
| Full Name | Olympus Medical Wellness Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 468 Nw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Yakelin Gil Rodriguez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7868726133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympus Medical Wellness Center Corp 468 Nw 27th Ave Miami FL 33125-3040 Ph: () - | Olympus Medical Wellness Center Corp 468 Nw 27th Ave Miami FL 33125-3040 Ph: (786) 706-5100 |
| NPI Number | 1467173674 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 9436525136 |
|---|---|
| Medicare Enrollment ID | O20221021000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467173674 | NPI | - | NPPES |
| 11151515 | Other | FL | INS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Gabriel Betancourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497001663 PECOS PAC ID: 4183849672 Enrollment ID: I20140625000579 |
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