| Professional Health Alliance, Llc | |
|
14150 Sw 119th Ave Suite 102 Miami FL 33186-6012 | |
| (305) 251-4131 | |
| Not Available |
| Full Name | Professional Health Alliance, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14150 Sw 119th Ave, Miami, Florida |
| Authorized Official Name and Position | Juan M Garces (OWNER/PRESIDENT) |
| Authorized Official Contact | 3052514131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Health Alliance, Llc 351 Nw 42nd Ave Suite 503 Miami FL 33126-5683 Ph: (786) 346-5644 | Professional Health Alliance, Llc 14150 Sw 119th Ave Suite 102 Miami FL 33186-6012 Ph: (305) 251-4131 |
| NPI Number | 1578095022 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578095022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME45734 (Florida) | Primary |
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