| Lifetime Medical Associates Of Aventura | |
|
21097 Ne 27th Ct Ste 300 Aventura FL 33180-1206 | |
| (305) 409-0197 | |
| Not Available |
| Full Name | Lifetime Medical Associates Of Aventura |
|---|---|
| Speciality | Internal Medicine |
| Location | 21097 Ne 27th Ct Ste 300, Aventura, Florida |
| Authorized Official Name and Position | Stacy D Roskin (OWNER) |
| Authorized Official Contact | 3054090197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Medical Associates Of Aventura 21097 Ne 27th Ct Ste 300 Aventura FL 33180-1206 Ph: (786) 244-2700 | Lifetime Medical Associates Of Aventura 21097 Ne 27th Ct Ste 300 Aventura FL 33180-1206 Ph: (305) 409-0197 |
| NPI Number | 1609486778 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 04/01/2021 |
| Medicare PECOS PAC ID | 0143648873 |
|---|---|
| Medicare Enrollment ID | O20200914000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609486778 | NPI | - | NPPES |
| ME-74069 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alejandro Andreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215095872 PECOS PAC ID: 9335174036 Enrollment ID: I20050930000728 |
| Provider Name | Stacy Roskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669530218 PECOS PAC ID: 1951590488 Enrollment ID: I20110113000821 |
| Provider Name | Lisset Casanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699442657 PECOS PAC ID: 5698164648 Enrollment ID: I20211111002539 |
| Provider Name | Leibe Aaron Arroyave Smilovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447819735 PECOS PAC ID: 3577948298 Enrollment ID: I20220916000983 |
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