| Nova Medical Office LLC | |
|
285 Nw 27th Ave Ste 14 Miami FL 33125-5133 | |
| (305) 456-5531 | |
| (305) 456-3894 |
| Full Name | Nova Medical Office LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 285 Nw 27th Ave Ste 14, Miami, Florida |
| Authorized Official Name and Position | Magda Manira Abdorabbo (ADMIN) |
| Authorized Official Contact | 3054565531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Office LLC 285 Nw 27th Ave Ste 14 Miami FL 33125-5133 Ph: (305) 456-5531 | Nova Medical Office LLC 285 Nw 27th Ave Ste 14 Miami FL 33125-5133 Ph: (305) 456-5531 |
| NPI Number | 1841142452 |
|---|---|
| Provider Enumeration Date | 02/14/2026 |
| Last Update Date | 02/14/2026 |
| Certification Date | 02/14/2026 |
| Medicare PECOS PAC ID | 5890260848 |
|---|---|
| Medicare Enrollment ID | O20260408000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841142452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Renato C Dominguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851408538 PECOS PAC ID: 5092895813 Enrollment ID: I20080107000566 |
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