| Orange Care Medical Group Llc | |
|
14750 Nw 77th Ct Ste 308 Miami Lakes FL 33016-1537 | |
| (786) 363-8500 | |
| (786) 363-8500 |
| Full Name | Orange Care Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14750 Nw 77th Ct Ste 308, Miami Lakes, Florida |
| Authorized Official Name and Position | Frank Exposito (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7863638500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Care Medical Group Llc 14750 Nw 77th Ct Ste 308 Miami Lakes FL 33016-1537 Ph: (786) 363-8500 | Orange Care Medical Group Llc 14750 Nw 77th Ct Ste 308 Miami Lakes FL 33016-1537 Ph: (786) 363-8500 |
| NPI Number | 1497355887 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 02/19/2021 |
| Medicare PECOS PAC ID | 8527470806 |
|---|---|
| Medicare Enrollment ID | O20201210000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497355887 | NPI | - | NPPES |
| 333555333555 | Other | TO BE DETERMINED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Esther Alonso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568442341 PECOS PAC ID: 4587604012 Enrollment ID: I20050504000650 |
| Provider Name | Rodolfo F Barroso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114079720 PECOS PAC ID: 6406940279 Enrollment ID: I20070924000721 |
| Provider Name | Susan J Lurie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104930353 PECOS PAC ID: 1759379027 Enrollment ID: I20100211000526 |
| Provider Name | Emanuella Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528663846 PECOS PAC ID: 3870906142 Enrollment ID: I20210701001701 |
| Provider Name | Michael J Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417548884 PECOS PAC ID: 1052717469 Enrollment ID: I20210910000761 |
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