| Dade County Street Response | |
|
4300 Nw 12th Ave Miami FL 33127-2540 | |
| (610) 715-9989 | |
| Not Available |
| Full Name | Dade County Street Response |
|---|---|
| Speciality | General Practice |
| Location | 4300 Nw 12th Ave, Miami, Florida |
| Authorized Official Name and Position | Armen Henderson (PRESIDENT) |
| Authorized Official Contact | 6107159989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dade County Street Response 4300 Nw 12th Ave Miami FL 33127-2540 Ph: (610) 715-9989 | Dade County Street Response 4300 Nw 12th Ave Miami FL 33127-2540 Ph: (610) 715-9989 |
| NPI Number | 1811680127 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 0749634350 |
|---|---|
| Medicare Enrollment ID | O20231002001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811680127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Armen Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902224132 PECOS PAC ID: 4587935275 Enrollment ID: I20170728001949 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 |
Medserve of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 |
Dagmar Lemus MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 |
Midway Medical Center, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 |
Mario L Nunez M D P a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 |