| Professional Medical Associates Llc | |
|
2301 N University Dr Suite# 205 Pembroke Pines FL 33024-3617 | |
| (954) 962-4680 | |
| (954) 966-6927 |
| Full Name | Professional Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2301 N University Dr, Pembroke Pines, Florida |
| Authorized Official Name and Position | Zenobia Miro-berkeley (PRESIDENT) |
| Authorized Official Contact | 9549624680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical Associates Llc 2301 N University Dr Suite# 205 Pembroke Pines FL 33024-3617 Ph: (954) 962-4680 | Professional Medical Associates Llc 2301 N University Dr Suite# 205 Pembroke Pines FL 33024-3617 Ph: (954) 962-4680 |
| NPI Number | 1295053460 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 6507051091 |
|---|---|
| Medicare Enrollment ID | O20101110000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295053460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME81885 (Florida) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | ME98247 (Florida) | Secondary |
| Provider Name | Zenobia Miro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174625784 PECOS PAC ID: 1557558772 Enrollment ID: I20110106001197 |
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