| Crypto Medical Clinic LLC | |
|
3100 Nw 72nd Ave Ste 113a Miami FL 33122-1351 | |
| (305) 589-1494 | |
| Not Available |
| Full Name | Crypto Medical Clinic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3100 Nw 72nd Ave Ste 113a, Miami, Florida |
| Authorized Official Name and Position | Jorge Batista (MGR) |
| Authorized Official Contact | 3055891494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crypto Medical Clinic LLC 3100 Nw 72nd Ave Ste 113a Miami FL 33122-1351 Ph: (305) 589-1494 | Crypto Medical Clinic LLC 3100 Nw 72nd Ave Ste 113a Miami FL 33122-1351 Ph: (305) 589-1494 |
| NPI Number | 1992584106 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 7810402187 |
|---|---|
| Medicare Enrollment ID | O20250715003482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992584106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | John L Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457399594 PECOS PAC ID: 9537067624 Enrollment ID: I20031229000232 |
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