| St Francis Community Care Inc | |
|
14055 West Dixie Hwy North Miami FL 33161-3442 | |
| (786) 452-0195 | |
| Not Available |
| Full Name | St Francis Community Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14055 West Dixie Hwy, North Miami, Florida |
| Authorized Official Name and Position | Estela Pinnavaria (CEO) |
| Authorized Official Contact | 7864520195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Francis Community Care Inc 14055 West Dixie Hwy North Miami FL 33161-3442 Ph: (786) 452-0195 | St Francis Community Care Inc 14055 West Dixie Hwy North Miami FL 33161-3442 Ph: (786) 452-0195 |
| NPI Number | 1447689559 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 12/13/2013 |
| Medicare PECOS PAC ID | 5193949337 |
|---|---|
| Medicare Enrollment ID | O20140610001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447689559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HCC9929 (Florida) | Primary |
| Provider Name | Renato Segura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356663306 PECOS PAC ID: 5991972390 Enrollment ID: I20120622000498 |
| Provider Name | Patricio Mauro Bidart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388676 PECOS PAC ID: 2466783972 Enrollment ID: I20191015002220 |
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