| Acacia Health Group Inc | |
|
8950 Sw 74th Ct Ste 22 Miami FL 33156-3171 | |
| (786) 577-3427 | |
| Not Available |
| Full Name | Acacia Health Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8950 Sw 74th Ct Ste 22, Miami, Florida |
| Authorized Official Name and Position | Camilo Gomez (OWNER) |
| Authorized Official Contact | 7865773427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Health Group Inc 8950 Sw 74th Ct Ste 22 Miami FL 33156-3171 Ph: (786) 577-3427 | Acacia Health Group Inc 8950 Sw 74th Ct Ste 22 Miami FL 33156-3171 Ph: (786) 577-3427 |
| NPI Number | 1205651544 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Medicare PECOS PAC ID | 4486183191 |
|---|---|
| Medicare Enrollment ID | O20250124002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205651544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dhaima Chin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407392111 PECOS PAC ID: 7113201708 Enrollment ID: I20170227001698 |
| Provider Name | Melida Berroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275165367 PECOS PAC ID: 9638591993 Enrollment ID: I20200616000767 |
| Provider Name | Margarita Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770340846 PECOS PAC ID: 9739529991 Enrollment ID: I20240504000266 |
| Provider Name | Maria M Eslait |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780992594 PECOS PAC ID: 5890237390 Enrollment ID: I20240612002116 |
| Provider Name | Camilo Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845282 PECOS PAC ID: 8426593856 Enrollment ID: I20240710002629 |
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