Universal Medical Centre Pa | |
13377 W Dixie Hwy North Miami FL 33161-4134 | |
(305) 893-8306 | |
(305) 893-8354 |
Full Name | Universal Medical Centre Pa |
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Speciality | Internal Medicine |
Location | 13377 W Dixie Hwy, North Miami, Florida |
Authorized Official Name and Position | Smith Joseph (OWNER) |
Authorized Official Contact | 3058938306 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Universal Medical Centre Pa 13377 W Dixie Hwy North Miami FL 33161-4134 Ph: (305) 893-8306 | Universal Medical Centre Pa 13377 W Dixie Hwy North Miami FL 33161-4134 Ph: (305) 893-8306 |
NPI Number | 1295986743 |
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Provider Enumeration Date | 10/02/2008 |
Last Update Date | 11/13/2009 |
Medicare PECOS PAC ID | 6204827850 |
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Medicare Enrollment ID | O20040521000461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295986743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS8309 (Florida) | Primary |
Provider Name | Smith Joseph |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851376552 PECOS PAC ID: 1153455209 Enrollment ID: I20100811001090 |
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