| Prima Health Center, Llc | |
|
125 Ne 167 St North Miami Beach FL 33162-0000 | |
| (786) 402-0351 | |
| Not Available |
| Full Name | Prima Health Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Ne 167 St, North Miami Beach, Florida |
| Authorized Official Name and Position | Rose-may Seide (OWNER) |
| Authorized Official Contact | 7864020351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Health Center, Llc 125 Ne 167 St North Miami Beach FL 33162-0000 Ph: (786) 402-0351 | Prima Health Center, Llc 125 Ne 167 St North Miami Beach FL 33162-0000 Ph: (786) 402-0351 |
| NPI Number | 1750966610 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Medicare PECOS PAC ID | 6901205723 |
|---|---|
| Medicare Enrollment ID | O20210527003094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750966610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rose May Seide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871582403 PECOS PAC ID: 3577520949 Enrollment ID: I20041216000993 |
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