| Dr Kerry Ellis Fine, DO | |
|
9300 Sw 72nd St, Miami, FL 33173-3205 | |
| (305) 330-4959 | |
| Not Available |
| Full Name | Dr Kerry Ellis Fine |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 9300 Sw 72nd St, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528565868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS22908 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry Ellis Fine, DO 9300 Sw 72nd St, Miami, FL 33173-3205 Ph: (305) 330-4959 | Dr Kerry Ellis Fine, DO 9300 Sw 72nd St, Miami, FL 33173-3205 Ph: (305) 330-4959 |
Dr. Gladys Linda Giron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-2000 |
Dr. Alan S Serure, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7300 S.w. 62 Place, Suite 200, Miami, FL 33143 Phone: 305-669-0184 Fax: 305-669-0720 |
Dr. Ascension M Torres, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11760 Sw 40th St, Suite 722, Miami, FL 33175 Phone: 305-559-1883 Fax: 305-559-1887 |
Dr. Geoffrey David Young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N. Kendall Dr, Miami Cancer Institute, Miami, FL 33176 Phone: 786-596-2000 Fax: 305-279-7778 |
Dr. Tihesha L Wilson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3641 S Miami Ave, Suite 331, Miami, FL 33133 Phone: 305-285-5040 Fax: 305-285-5039 |
Henri Ronald Ford, MD Surgery Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-5437 |
Natalia Vidal Laureano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7265 Sw 93rd Ave Ste 201, Miami, FL 33173 Phone: 305-230-4326 |