| Carol City Med Plus Inc | |
|
18373 Nw 27th Ave Carol City FL 33056-3169 | |
| (305) 625-9088 | |
| (305) 625-0857 |
| Full Name | Carol City Med Plus Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18373 Nw 27th Ave, Carol City, Florida |
| Authorized Official Name and Position | Pierre R Bleniur (PRESIDENT) |
| Authorized Official Contact | 3056259088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol City Med Plus Inc 18373 Nw 27th Ave Carol City FL 33056-3169 Ph: (305) 625-9088 | Carol City Med Plus Inc 18373 Nw 27th Ave Carol City FL 33056-3169 Ph: (305) 625-9088 |
| NPI Number | 1639168800 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 9739105701 |
|---|---|
| Medicare Enrollment ID | O20051019000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639168800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HCCR2188 (Florida) | Primary |
| Provider Name | Pierre R Blemur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730177098 PECOS PAC ID: 7214928001 Enrollment ID: I20041022000681 |
Jessie Trice Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3301 Miami Gardens Drive, Carol City, FL 33056 Phone: 305-637-6400 Fax: 305-636-5155 |