| San Marcus Medical Office, Inc. | |
|
5941 Nw 173rd Dr Hialeah FL 33015-5109 | |
| (786) 615-2713 | |
| (786) 615-3023 |
| Full Name | San Marcus Medical Office, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5941 Nw 173rd Dr, Hialeah, Florida |
| Authorized Official Name and Position | Idalia Acosta (PRESIDENT/OWNER) |
| Authorized Official Contact | 7866152713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Marcus Medical Office, Inc. 5941 Nw 173rd Dr Hialeah FL 33015-5109 Ph: (786) 615-2713 | San Marcus Medical Office, Inc. 5941 Nw 173rd Dr Hialeah FL 33015-5109 Ph: (786) 615-2713 |
| NPI Number | 1821404104 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821404104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME66961 (Florida) | Primary |
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