| Pyrimed Care Services, Llc | |
|
2100 W 76th St Suite 313a Hialeah FL 33016-5539 | |
| (954) 399-5887 | |
| Not Available |
| Full Name | Pyrimed Care Services, Llc |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 2100 W 76th St, Hialeah, Florida |
| Authorized Official Name and Position | Rudolph Johnson (CEO) |
| Authorized Official Contact | 9543995887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyrimed Care Services, Llc 2114 N Flamingo Rd Suite 158 Pembroke Pines FL 33028-3501 Ph: () - | Pyrimed Care Services, Llc 2100 W 76th St Suite 313a Hialeah FL 33016-5539 Ph: (954) 399-5887 |
| NPI Number | 1932413531 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932413531 | NPI | - | NPPES |
| 017242900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | 234273 (Florida) | Primary |
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