| Parrilla Md Llc | |
|
1025 E 25th St Hialeah FL 33013-3703 | |
| (305) 696-0842 | |
| (305) 696-2150 |
| Full Name | Parrilla Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 1025 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Edwin Jl Parrilla (PHYSICIAN) |
| Authorized Official Contact | 3056960842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parrilla Md Llc 1025 E 25th St Hialeah FL 33013-3703 Ph: (305) 696-0842 | Parrilla Md Llc 1025 E 25th St Hialeah FL 33013-3703 Ph: (305) 696-0842 |
| NPI Number | 1457864753 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457864753 | NPI | - | NPPES |
| 136147669 | Other | NY | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME130156 (Florida) | Primary |
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