| Ltcmd Services, PA | |
|
1888 Ne 124th St North Miami FL 33181-2613 | |
| (305) 788-3792 | |
| (305) 757-8476 |
| Full Name | Ltcmd Services, PA |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1888 Ne 124th St, North Miami, Florida |
| Authorized Official Name and Position | Carlos M Tellechea (OWNER) |
| Authorized Official Contact | 3057883792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltcmd Services, PA 1888 Ne 124th St North Miami FL 33181-2613 Ph: (305) 788-3792 | Ltcmd Services, PA 1888 Ne 124th St North Miami FL 33181-2613 Ph: (305) 788-3792 |
| NPI Number | 1316858178 |
|---|---|
| Provider Enumeration Date | 09/12/2026 |
| Last Update Date | 09/12/2026 |
| Certification Date | 09/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316858178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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