| Miccosukee Corporation | |
|
37790 Sw 8th Street Miami FL 33194 | |
| (305) 894-2387 | |
| Not Available |
| Full Name | Miccosukee Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 37790 Sw 8th Street, Miami, Florida |
| Authorized Official Name and Position | Lyndsay Sanders (PEOPLE OFFICER) |
| Authorized Official Contact | 3058942387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miccosukee Corporation 37790 Sw 8th Street Miami FL 33194 | Miccosukee Corporation 37790 Sw 8th Street Miami FL 33194 Ph: (305) 894-2387 |
| NPI Number | 1245109768 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 03/03/2026 |
| Certification Date | 03/03/2026 |
| Medicare PECOS PAC ID | 6608341318 |
|---|---|
| Medicare Enrollment ID | O20260410000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245109768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Marcos G Castro Alos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508699018 PECOS PAC ID: 7214402387 Enrollment ID: I20260407000143 |
| Provider Name | Bethel Laine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528463387 PECOS PAC ID: 1153635925 Enrollment ID: I20260410000908 |
| Provider Name | Lino Suarez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841414943 PECOS PAC ID: 3779058300 Enrollment ID: I20260410001387 |
| Provider Name | William K Soto Bartolome |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558092692 PECOS PAC ID: 7517432156 Enrollment ID: I20260410001908 |
| Provider Name | Yunior Medina Barrueco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649060427 PECOS PAC ID: 4789159328 Enrollment ID: I20260410002015 |
| Provider Name | Dorgis Garcia Lopez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992147326 PECOS PAC ID: 7214402817 Enrollment ID: I20260411000003 |
| Provider Name | Schela M Merabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699547612 PECOS PAC ID: 8123593720 Enrollment ID: I20260411000004 |
| Provider Name | Peter H Hanna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023465903 PECOS PAC ID: 0840554507 Enrollment ID: I20260616000094 |
| Provider Name | Jennifer Prieto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598310203 PECOS PAC ID: 8426579707 Enrollment ID: I20260616000192 |
| Provider Name | Joey Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891354320 PECOS PAC ID: 4587136759 Enrollment ID: I20260618001948 |
| Provider Name | Julio C Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972987147 PECOS PAC ID: 3870897887 Enrollment ID: I20260618002804 |
| Provider Name | Kasandra Adras-childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427704766 PECOS PAC ID: 8820561186 Enrollment ID: I20260626004394 |
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