| Pmr Illinois Holding Llc | |
|
1395 Nw 167th St Miami Gardens FL 33169-5742 | |
| (305) 628-6117 | |
| Not Available |
| Full Name | Pmr Illinois Holding Llc |
|---|---|
| Speciality | General Practice |
| Location | 1395 Nw 167th St, Miami Gardens, Florida |
| Authorized Official Name and Position | Christopher Chen (CEO) |
| Authorized Official Contact | 3056286117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmr Illinois Holding Llc 1395 Nw 167th St Miami Gardens FL 33169-5742 Ph: (305) 628-6117 | Pmr Illinois Holding Llc 1395 Nw 167th St Miami Gardens FL 33169-5742 Ph: (305) 628-6117 |
| NPI Number | 1801264502 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801264502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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