| Junior William Pittack, MD | |
|
4175 W 20th Ave, Hialeah, FL 33012-5874 | |
| (305) 825-0300 | |
| Not Available |
| Full Name | Junior William Pittack |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4175 W 20th Ave, Hialeah, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023053931 | NPI | - | NPPES |
| 275495900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME89943 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME89943 (Florida) | Secondary |
| Entity Name | Citrus Health Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821138819 PECOS PAC ID: 9931177334 Enrollment ID: O20040923000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Junior William Pittack, MD 11320 Sw 112th Circle Ln E, Miami, FL 33176-3861 Ph: (305) 254-5961 | Junior William Pittack, MD 4175 W 20th Ave, Hialeah, FL 33012-5874 Ph: (305) 825-0300 |
Alfredo G Pujol, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4201 Palm Ave, Suite 2b, Hialeah, FL 33012 Phone: 305-822-8022 Fax: 305-826-0052 | |
Dr. Elaine Marie Ramos, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5380 W 14th Ave, Hialeah, FL 33012 Phone: 305-349-3457 | |
Micheline Anne Beaulieu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Bryan Charles Ellerson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Dr. Maria Elena Collado, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Carmel Ar Awadallah, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1475 W 49th Pl Ste 604, Hialeah, FL 33012 Phone: 305-816-1975 |