| Wellness Medical Clinic And Geriatric Center Inc | |
|
12741 Miramar Pkwy Building 2, Suite 104 Miramar FL 33027-2903 | |
| (954) 392-9993 | |
| (954) 392-5559 |
| Full Name | Wellness Medical Clinic And Geriatric Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12741 Miramar Pkwy, Miramar, Florida |
| Authorized Official Name and Position | Yavir M. Escovar (PHYSICIAN) |
| Authorized Official Contact | 9543929993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Medical Clinic And Geriatric Center Inc 12741 Miramar Pkwy Building 2, Suite 104 Miramar FL 33027-2903 Ph: (954) 392-9993 | Wellness Medical Clinic And Geriatric Center Inc 12741 Miramar Pkwy Building 2, Suite 104 Miramar FL 33027-2903 Ph: (954) 392-9993 |
| NPI Number | 1033395041 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 11/30/2011 |
| Medicare PECOS PAC ID | 1759502230 |
|---|---|
| Medicare Enrollment ID | O20141027000944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033395041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME73704 (Florida) | Primary |
| Provider Name | Yavir Escovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831185727 PECOS PAC ID: 2567362601 Enrollment ID: I20040113000564 |
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