South Florida Practitioners & Associates Llc | |
15600 Sw 288th St Ste 105 Homestead FL 33033-1200 | |
(786) 298-4573 | |
Not Available |
Full Name | South Florida Practitioners & Associates Llc |
---|---|
Speciality | Clinic/Center |
Location | 15600 Sw 288th St Ste 105, Homestead, Florida |
Authorized Official Name and Position | Adianez Garcia Aguila (OWNER) |
Authorized Official Contact | 7862984573 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
South Florida Practitioners & Associates Llc 12349 Sw 251st Ter Homestead FL 33032-5928 Ph: (786) 298-4573 | South Florida Practitioners & Associates Llc 15600 Sw 288th St Ste 105 Homestead FL 33033-1200 Ph: (786) 298-4573 |
NPI Number | 1609640473 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 12/06/2023 |
Medicare PECOS PAC ID | 3779935564 |
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Medicare Enrollment ID | O20240117002484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609640473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Adianez Garcia Aguila |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497479083 PECOS PAC ID: 3375906050 Enrollment ID: I20230829000154 |
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