| Mary A. Cross, M.d., P.a. | |
|
9485 Sw 72nd St Suite A-195 Miami FL 33173-3242 | |
| (305) 274-7272 | |
| Not Available |
| Full Name | Mary A. Cross, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 9485 Sw 72nd St, Miami, Florida |
| Authorized Official Name and Position | Mary A Cross (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3052747272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A. Cross, M.d., P.a. 9485 Sw 72nd St Suite A-195 Miami FL 33173-3242 Ph: (305) 274-7272 | Mary A. Cross, M.d., P.a. 9485 Sw 72nd St Suite A-195 Miami FL 33173-3242 Ph: (305) 274-7272 |
| NPI Number | 1073914156 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Medicare PECOS PAC ID | 7315134947 |
|---|---|
| Medicare Enrollment ID | O20141201000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073914156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME118038 (Florida) | Primary |
| Provider Name | Mary A Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932204187 PECOS PAC ID: 5890876007 Enrollment ID: I20140410000659 |
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