| Pmc Palmetto Bay Corp. | |
|
9275 S.w. 152 Street Suite 204 Miami FL 33157 | |
| (305) 251-3975 | |
| Not Available |
| Full Name | Pmc Palmetto Bay Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 9275 S.w. 152 Street, Miami, Florida |
| Authorized Official Name and Position | Olive Chung-james (DOCTOR) |
| Authorized Official Contact | 3052513975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmc Palmetto Bay Corp. 9275 S.w. 152 Street Suite 204 Miami FL 33157 Ph: (305) 251-3975 | Pmc Palmetto Bay Corp. 9275 S.w. 152 Street Suite 204 Miami FL 33157 Ph: (305) 251-3975 |
| NPI Number | 1588983944 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 11/08/2012 |
| Medicare PECOS PAC ID | 8729252457 |
|---|---|
| Medicare Enrollment ID | O20111115000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588983944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME42907 (Florida) | Primary |
| Provider Name | Michael Cavanaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679525836 PECOS PAC ID: 0446280739 Enrollment ID: I20050816001085 |
| Provider Name | Nadine Cantave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174733828 PECOS PAC ID: 1850479718 Enrollment ID: I20080418000072 |
| Provider Name | Olive V Chung James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023183571 PECOS PAC ID: 0840379020 Enrollment ID: I20080430000324 |
| Provider Name | Jennifer Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265787378 PECOS PAC ID: 4183863459 Enrollment ID: I20130617000621 |
| Provider Name | Oluwole Pitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548213 PECOS PAC ID: 9931477106 Enrollment ID: I20170612000828 |
| Provider Name | Asra Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134567563 PECOS PAC ID: 3870915572 Enrollment ID: I20200625002895 |
| Provider Name | Karen K Wies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609893270 PECOS PAC ID: 1951353523 Enrollment ID: I20211222000969 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |