| Pmc Homestead, Corp. | |
|
15335 Sw 288th St Homestead FL 33033-1356 | |
| (305) 248-3814 | |
| Not Available |
| Full Name | Pmc Homestead, Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 15335 Sw 288th St, Homestead, Florida |
| Authorized Official Name and Position | Spencer Angel (PRES) |
| Authorized Official Contact | 3052551355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmc Homestead, Corp. 15335 Sw 288th Street Homestead FL 33033 Ph: (305) 248-3814 | Pmc Homestead, Corp. 15335 Sw 288th St Homestead FL 33033-1356 Ph: (305) 248-3814 |
| NPI Number | 1336490077 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 03/02/2021 |
| Medicare PECOS PAC ID | 3577717032 |
|---|---|
| Medicare Enrollment ID | O20130208000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336490077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David B Scholl |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1407994395 PECOS PAC ID: 1951498567 Enrollment ID: I20071030000117 |
| Provider Name | Deana S Goldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386825677 PECOS PAC ID: 3870651482 Enrollment ID: I20081027000519 |
| Provider Name | Esther P Mathurin-forney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164864559 PECOS PAC ID: 9335487230 Enrollment ID: I20190220000140 |
| Provider Name | Dunia Pena Salgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922562701 PECOS PAC ID: 9234561945 Enrollment ID: I20200619002228 |
| Provider Name | Laura Rotllan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023626165 PECOS PAC ID: 0042620643 Enrollment ID: I20201111000453 |
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