| Specialized Elder Care Services Florida Llc | |
|
2420 Ne 194th St Miami FL 33180-2159 | |
| (510) 406-4182 | |
| Not Available |
| Full Name | Specialized Elder Care Services Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2420 Ne 194th St, Miami, Florida |
| Authorized Official Name and Position | Rik Smith (MGR) |
| Authorized Official Contact | 5104064182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Elder Care Services Florida Llc 2420 Ne 194th St Miami FL 33180-2159 Ph: (510) 406-4182 | Specialized Elder Care Services Florida Llc 2420 Ne 194th St Miami FL 33180-2159 Ph: (510) 406-4182 |
| NPI Number | 1033812250 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Medicare PECOS PAC ID | 4082068473 |
|---|---|
| Medicare Enrollment ID | O20231004001781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033812250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rik Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215016902 PECOS PAC ID: 7012078314 Enrollment ID: I20220428000582 |
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