| Alina Health Medical Center Corp. | |
|
4800 N State Road 7 Ste C Lauderdale Lakes FL 33319-5811 | |
| (305) 767-0887 | |
| Not Available |
| Full Name | Alina Health Medical Center Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 4800 N State Road 7 Ste C, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Gravil Joseph (OWNER) |
| Authorized Official Contact | 3057670887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alina Health Medical Center Corp. 4800 N State Road 7 Ste Abandc Lauderdale Lakes FL 33319-5811 Ph: () - | Alina Health Medical Center Corp. 4800 N State Road 7 Ste C Lauderdale Lakes FL 33319-5811 Ph: (305) 767-0887 |
| NPI Number | 1144975418 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Medicare PECOS PAC ID | 7517352214 |
|---|---|
| Medicare Enrollment ID | O20220316000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144975418 | NPI | - | NPPES |
| Provider Name | Gravil Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164960720 PECOS PAC ID: 3870860398 Enrollment ID: I20170603000156 |
| Provider Name | Moramed Gery Sander Desroches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487003422 PECOS PAC ID: 6507240892 Enrollment ID: I20230620002888 |
| Provider Name | Widdler Deshommes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376172015 PECOS PAC ID: 9739565169 Enrollment ID: I20240408001798 |
| Provider Name | Eden Barbara Belgarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851042006 PECOS PAC ID: 2567983745 Enrollment ID: I20250304002320 |
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