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13385 Memorial Hwy North Miami FL 33161-3939 | |
| (305) 200-5737 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 13385 Memorial Hwy, North Miami, Florida |
| Authorized Official Name and Position | Rodney Noel (OWNER) |
| Authorized Official Contact | 7542323500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
13385 Memorial Hwy North Miami FL 33161-3939 Ph: (305) 200-5737 | 13385 Memorial Hwy North Miami FL 33161-3939 Ph: (305) 200-5737 |
| NPI Number | 1306699343 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 8123563996 |
|---|---|
| Medicare Enrollment ID | O20240716004893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306699343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Evrose P Noel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770830168 PECOS PAC ID: 1759530173 Enrollment ID: I20120928000488 |
| Provider Name | Guerlyne Desir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710359294 PECOS PAC ID: 5890051270 Enrollment ID: I20171118000109 |
| Provider Name | Dayana Sandia Alcime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235699075 PECOS PAC ID: 3375953938 Enrollment ID: I20201110002052 |
| Provider Name | Felix Filias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063073658 PECOS PAC ID: 6103208749 Enrollment ID: I20220729000832 |
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