| A & C Community Support LLC | |
|
2500 Nw 79th Ave Ste 298 Doral FL 33122-1092 | |
| (305) 939-7163 | |
| Not Available |
| Full Name | A & C Community Support LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Nw 79th Ave Ste 298, Doral, Florida |
| Authorized Official Name and Position | Diane Darias (PRESIDENT) |
| Authorized Official Contact | 3059397163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A & C Community Support LLC 2500 Nw 79th Ave Ste 298 Miami FL 33122-1092 Ph: (305) 939-7163 | A & C Community Support LLC 2500 Nw 79th Ave Ste 298 Doral FL 33122-1092 Ph: (305) 939-7163 |
| NPI Number | 1740861723 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Medicare PECOS PAC ID | 4880041524 |
|---|---|
| Medicare Enrollment ID | O20231116003765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740861723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Hector L Varas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437681350 PECOS PAC ID: 2860736196 Enrollment ID: I20200604002383 |
| Provider Name | Maelia Y Rodriguez Garlobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115402 PECOS PAC ID: 7416339015 Enrollment ID: I20220728003009 |
| Provider Name | Ormelvis Urra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295496099 PECOS PAC ID: 7911365218 Enrollment ID: I20230619001269 |
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