| Selest Health Center, Inc | |
|
16601 Ne 6th Ave North Miami Beach FL 33162-3607 | |
| (305) 956-2707 | |
| (305) 956-9079 |
| Full Name | Selest Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16601 Ne 6th Ave, North Miami Beach, Florida |
| Authorized Official Name and Position | Rose M Augustin (PRESIDENT) |
| Authorized Official Contact | 7865542891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selest Health Center, Inc 16601 Ne 6th Ave North Miami Beach FL 33162-3607 Ph: (305) 956-2707 | Selest Health Center, Inc 16601 Ne 6th Ave North Miami Beach FL 33162-3607 Ph: (305) 956-2707 |
| NPI Number | 1659504199 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7214960525 |
|---|---|
| Medicare Enrollment ID | O20050916000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659504199 | NPI | - | NPPES |
| HCC5314 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC5314 (Florida) | Primary |
| 261Q00000X | Clinic/center | (Florida) | Secondary |
| Provider Name | Jean-marie G Eugene |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265524862 PECOS PAC ID: 4082600838 Enrollment ID: I20040426000500 |
| Provider Name | Carmelo Maddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629473673 PECOS PAC ID: 3577596881 Enrollment ID: I20150302001271 |
| Provider Name | Rose M Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891184719 PECOS PAC ID: 5395778609 Enrollment ID: I20151027000781 |
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