| Pmhc Inc | |
|
11750 Sw 40th St Miami FL 33175-3530 | |
| (305) 223-3000 | |
| Not Available |
| Full Name | Pmhc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11750 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | George Yatzkan (OWNER) |
| Authorized Official Contact | 3055629406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmhc Inc 10925 Sw 26th St Miami FL 33165-2301 Ph: (305) 562-9406 | Pmhc Inc 11750 Sw 40th St Miami FL 33175-3530 Ph: (305) 223-3000 |
| NPI Number | 1639747512 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 0840680260 |
|---|---|
| Medicare Enrollment ID | O20211129001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639747512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| Provider Name | George Daniel Yatzkan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457308744 PECOS PAC ID: 0042293672 Enrollment ID: I20040612000352 |
| Provider Name | Raul A Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699214411 PECOS PAC ID: 2466594999 Enrollment ID: I20210810004239 |
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