| Opal Medical, Llc | |
|
7421 N University Dr Ste 212 Tamarac FL 33321-6102 | |
| (954) 721-9494 | |
| Not Available |
| Full Name | Opal Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7421 N University Dr Ste 212, Tamarac, Florida |
| Authorized Official Name and Position | Ramon Ramirez (PRESIDENT) |
| Authorized Official Contact | 9547219494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Medical, Llc 7421 N University Dr Ste 212 Tamarac FL 33321-6102 Ph: (954) 721-9494 | Opal Medical, Llc 7421 N University Dr Ste 212 Tamarac FL 33321-6102 Ph: (954) 721-9494 |
| NPI Number | 1194391706 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/07/2021 |
| Medicare PECOS PAC ID | 6002218229 |
|---|---|
| Medicare Enrollment ID | O20210712000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194391706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ramon Md Ramirez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396844478 PECOS PAC ID: 2264464783 Enrollment ID: I20100830000811 |
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