| Ihosvani Miguel MD PA | |
|
500 Se 17th St Ste 301 Fort Lauderdale FL 33316-2547 | |
| (855) 844-1545 | |
| (855) 844-1545 |
| Full Name | Ihosvani Miguel MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Se 17th St Ste 301, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Ihosvani Miguel (PRESIDENT) |
| Authorized Official Contact | 7862901764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihosvani Miguel MD PA 500 Se 17th St Ste 301 Ft Lauderdale FL 33316-2547 Ph: (855) 844-1545 | Ihosvani Miguel MD PA 500 Se 17th St Ste 301 Fort Lauderdale FL 33316-2547 Ph: (855) 844-1545 |
| NPI Number | 1962749564 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Medicare PECOS PAC ID | 2466606744 |
|---|---|
| Medicare Enrollment ID | O20130214000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962749564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
| Provider Name | Ihosvani Miguel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346400231 PECOS PAC ID: 4880883776 Enrollment ID: I20110107000268 |
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