| West Perrine Health Center | |
|
18255 Homestead Ave Perrine FL 33157-5564 | |
| (305) 252-4487 | |
| Not Available |
| Full Name | West Perrine Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 18255 Homestead Ave, Perrine, Florida |
| Authorized Official Name and Position | Jeremy David Radziewicz (CFO) |
| Authorized Official Contact | 3052326047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Perrine Health Center 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | West Perrine Health Center 18255 Homestead Ave Perrine FL 33157-5564 Ph: (305) 252-4487 |
| NPI Number | 1164685673 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 6507770526 |
|---|---|
| Medicare Enrollment ID | O20040726000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164685673 | NPI | - | NPPES |
| 053715201 | Medicaid | FL | |
| 029572804 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rr Moton Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18050 Homestead Ave, Perrine, FL 33157 Phone: 305-238-9520 |