| Powell Health Solutions Corp | |
|
17100 Ne 19th Ave #125 North Miami Beach FL 33162-3102 | |
| (305) 948-4701 | |
| (305) 948-8591 |
| Full Name | Powell Health Solutions Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 17100 Ne 19th Ave, North Miami Beach, Florida |
| Authorized Official Name and Position | Michelle Cecille Powell (PRESIDENT) |
| Authorized Official Contact | 3059484701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Health Solutions Corp 17100 Ne 19th Ave North Miami Beach FL 33162-3102 Ph: (305) 948-4701 | Powell Health Solutions Corp 17100 Ne 19th Ave #125 North Miami Beach FL 33162-3102 Ph: (305) 948-4701 |
| NPI Number | 1427277292 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 10/12/2011 |
| Medicare PECOS PAC ID | 7618938903 |
|---|---|
| Medicare Enrollment ID | O20041020000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427277292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0007263 (Florida) | Primary |
| Provider Name | Michelle C Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750352068 PECOS PAC ID: 6406829399 Enrollment ID: I20040818000740 |
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