Paolo Mimbella, MD | |
21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | |
(305) 974-5533 | |
Not Available |
Full Name | Paolo Mimbella |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 21000 Ne 28th Ave Ste 104, Aventura, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831599794 | NPI | - | NPPES |
402548801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME15107 (Florida) | Primary |
Entity Name | Gateway Surgical Center, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1124587548 PECOS PAC ID: 4789919598 Enrollment ID: O20190717000293 |
Mailing Address | Practice Location Address |
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Paolo Mimbella, MD Po Box 223190, Hollywood, FL 33022-3190 Ph: (305) 974-5533 | Paolo Mimbella, MD 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 Ph: (305) 974-5533 |
Zach Broyer, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 21110 Biscayne Blvd Ste 205, Aventura, FL 33180 Phone: 954-458-1199 Fax: 954-458-1833 | |
Bryce Elliot Epstein, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 21000 Ne 28th Ave Ste 104, Aventura, FL 33180 Phone: 305-937-1999 Fax: 305-931-9741 | |
Dr. Sandee Jewel Bristow, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 21000 Ne 28th Ave Ste 104, Aventura, FL 33180 Phone: 305-974-5533 Fax: 305-974-5553 | |
Dr. Tovakesha Nicole Barnard, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 21097 Ne 27th Ct Ste 590, Aventura, FL 33180 Phone: 305-748-4533 |