| Homestead Health And Wellness Center Inc | |
|
125 Ne 8th St Suite 4 Homestead FL 33030-4676 | |
| (305) 247-8585 | |
| (305) 246-8109 |
| Full Name | Homestead Health And Wellness Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Ne 8th St, Homestead, Florida |
| Authorized Official Name and Position | Raymond Levy (PRESIDENT) |
| Authorized Official Contact | 3052529485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Health And Wellness Center Inc 9780 E Indigo St Suite 202 Palmetto Bay FL 33157-5609 Ph: (305) 252-9485 | Homestead Health And Wellness Center Inc 125 Ne 8th St Suite 4 Homestead FL 33030-4676 Ph: (305) 247-8585 |
| NPI Number | 1750822557 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 05/21/2020 |
| Medicare PECOS PAC ID | 0941561302 |
|---|---|
| Medicare Enrollment ID | O20180227001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750822557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Janice E Milligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932220845 PECOS PAC ID: 4587561378 Enrollment ID: I20031218000707 |
| Provider Name | Ricardo Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689836348 PECOS PAC ID: 1355512385 Enrollment ID: I20110922000224 |
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