| Ilemor Medical Services Inc | |
|
14857 Sw 58th St Miami FL 33193-2444 | |
| (786) 488-7059 | |
| Not Available |
| Full Name | Ilemor Medical Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14857 Sw 58th St, Miami, Florida |
| Authorized Official Name and Position | Ileana Morcillo (OWNER) |
| Authorized Official Contact | 7864887059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilemor Medical Services Inc 14857 Sw 58th St Miami FL 33193-2444 Ph: (786) 488-7059 | Ilemor Medical Services Inc 14857 Sw 58th St Miami FL 33193-2444 Ph: (786) 488-7059 |
| NPI Number | 1215740022 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 5092236232 |
|---|---|
| Medicare Enrollment ID | O20250305000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215740022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ileana Morcillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164032553 PECOS PAC ID: 2860874351 Enrollment ID: I20220730000337 |
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