| Opa-locka Medical Clinic | |
|
870 Fisherman St Opa Locka FL 33054-3509 | |
| (305) 688-2519 | |
| (305) 688-2785 |
| Full Name | Opa-locka Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 870 Fisherman St, Opa Locka, Florida |
| Authorized Official Name and Position | David Kramer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3056882519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opa-locka Medical Clinic 870 Fisherman St Opa Locka FL 33054-3509 Ph: (305) 688-2519 | Opa-locka Medical Clinic 870 Fisherman St Opa Locka FL 33054-3509 Ph: (305) 688-2519 |
| NPI Number | 1326371485 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/10/2009 |
| Medicare PECOS PAC ID | 4587700299 |
|---|---|
| Medicare Enrollment ID | O20091012000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326371485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0007088 (Florida) | Primary |
| Provider Name | David Kramer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235153537 PECOS PAC ID: 5597801209 Enrollment ID: I20091012000086 |
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