| Amedical Luxury | |
|
117 E 41st St Hialeah FL 33013-2235 | |
| (786) 407-4103 | |
| Not Available |
| Full Name | Amedical Luxury |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 E 41st St, Hialeah, Florida |
| Authorized Official Name and Position | Heather Alexandra Preciado (CEO/PRACTITIONER) |
| Authorized Official Contact | 7863624338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amedical Luxury 117 E 41st St Hialeah FL 33013-2235 Ph: (786) 407-4103 | Amedical Luxury 117 E 41st St Hialeah FL 33013-2235 Ph: (786) 407-4103 |
| NPI Number | 1376204420 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Medicare PECOS PAC ID | 1153714670 |
|---|---|
| Medicare Enrollment ID | O20220205000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376204420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QH0100X | Clinic/center - Health Service | () | Secondary |
| Provider Name | Heather Alexandra Preciado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295394708 PECOS PAC ID: 2062805583 Enrollment ID: I20220205000108 |
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