| Stat Medical Clinic, Inc. | |
|
9526 Ne 2nd Ave Suite 202 Miami Shores FL 33138-2750 | |
| (305) 756-9466 | |
| Not Available |
| Full Name | Stat Medical Clinic, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 9526 Ne 2nd Ave, Miami Shores, Florida |
| Authorized Official Name and Position | Ramon Berenguer (MD) |
| Authorized Official Contact | 3057569466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Medical Clinic, Inc. 9526 Ne 2nd Ave Suite 202 Miami Shores FL 33138-2750 Ph: (305) 756-9466 | Stat Medical Clinic, Inc. 9526 Ne 2nd Ave Suite 202 Miami Shores FL 33138-2750 Ph: (305) 756-9466 |
| NPI Number | 1245456169 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245456169 | NPI | - | NPPES |
| 207707100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME88240 (Florida) | Primary |
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