| Pws Medical Pa | |
|
8200 Sw 117th Ave #300 Miami FL 33183-3856 | |
| (305) 901-2133 | |
| (305) 901-2117 |
| Full Name | Pws Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8200 Sw 117th Ave, Miami, Florida |
| Authorized Official Name and Position | Guillermo Samper (MEDICAL DOCTOR) |
| Authorized Official Contact | 3059012133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pws Medical Pa Po Box 560275 Miami FL 33256-0275 Ph: (305) 901-2133 | Pws Medical Pa 8200 Sw 117th Ave #300 Miami FL 33183-3856 Ph: (305) 901-2133 |
| NPI Number | 1518355718 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518355718 | NPI | - | NPPES |
| 00419000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME97045 (Florida) | Primary |
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