| Professional Medical Health Services Llc | |
|
5190 Nw 167th St Ste 104 Miami Lakes FL 33014-6337 | |
| (786) 955-6598 | |
| (786) 955-6857 |
| Full Name | Professional Medical Health Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 5190 Nw 167th St Ste 104, Miami Lakes, Florida |
| Authorized Official Name and Position | Luis Campillo (PRESIDENT) |
| Authorized Official Contact | 7869556598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical Health Services Llc 5190 Nw 167th St Ste 104 Miami Lakes FL 33014-6337 Ph: (786) 955-6598 | Professional Medical Health Services Llc 5190 Nw 167th St Ste 104 Miami Lakes FL 33014-6337 Ph: (786) 955-6598 |
| NPI Number | 1184893034 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184893034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME64856 (Florida) | Primary |
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