| Power G Medical Center, Corp | |
|
14160 Palmetto Frontage Rd Suite 100 Miami Lakes FL 33016 | |
| (305) 822-9108 | |
| (305) 822-9028 |
| Full Name | Power G Medical Center, Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 14160 Palmetto Frontage Rd, Miami Lakes, Florida |
| Authorized Official Name and Position | Osvaldo Avila (PRESIDENT) |
| Authorized Official Contact | 3058229108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Power G Medical Center, Corp 14160 Palmetto Frontage Rd Suite 100 Miami Lakes FL 33016 Ph: (305) 822-9108 | Power G Medical Center, Corp 14160 Palmetto Frontage Rd Suite 100 Miami Lakes FL 33016 Ph: (305) 822-9108 |
| NPI Number | 1619249018 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619249018 | NPI | - | NPPES |
| FILE 10006 | Other | FL | AHCA HCC UNIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC9429 (Florida) | Primary |
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