| Erick Unlimited Ii, Llc | |
|
3746 W 12th Ave Hialeah FL 33012-4126 | |
| (305) 992-0837 | |
| Not Available |
| Full Name | Erick Unlimited Ii, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3746 W 12th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Erick Castro (OWNER) |
| Authorized Official Contact | 7864472391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erick Unlimited Ii, Llc 3746 W 12th Ave Hialeah FL 33012-4126 Ph: (786) 600-7560 | Erick Unlimited Ii, Llc 3746 W 12th Ave Hialeah FL 33012-4126 Ph: (305) 992-0837 |
| NPI Number | 1003569807 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 7214314863 |
|---|---|
| Medicare Enrollment ID | O20220519002311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003569807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Erik Carrasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073762043 PECOS PAC ID: 2163557489 Enrollment ID: I20100623000446 |
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