| Mia33ah01 Llc | |
|
1190 Nw 95th St Ste 303 Miami FL 33150-2066 | |
| (789) 360-3492 | |
| Not Available |
| Full Name | Mia33ah01 Llc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 1190 Nw 95th St Ste 303, Miami, Florida |
| Authorized Official Name and Position | Jason Marucci (MGR) |
| Authorized Official Contact | 5612228208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mia33ah01 Llc 1190 Nw 95th St Ste 303 Miami FL 33150-2066 Ph: (789) 360-3492 | Mia33ah01 Llc 1190 Nw 95th St Ste 303 Miami FL 33150-2066 Ph: (789) 360-3492 |
| NPI Number | 1154003457 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154003457 | NPI | - | NPPES |
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