| Planet Health Medical Center, Corp. | |
|
10305 Nw 41st St Ste 115 Doral FL 33178-2975 | |
| (305) 883-2001 | |
| Not Available |
| Full Name | Planet Health Medical Center, Corp. |
|---|---|
| Speciality | Physical Therapist |
| Location | 10305 Nw 41st St Ste 115, Doral, Florida |
| Authorized Official Name and Position | Nalanys Caridad Roque (OWNER) |
| Authorized Official Contact | 3055864456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planet Health Medical Center, Corp. 10305 Nw 41st St Ste 115 Doral FL 33178-2975 Ph: (305) 407-8844 | Planet Health Medical Center, Corp. 10305 Nw 41st St Ste 115 Doral FL 33178-2975 Ph: (305) 883-2001 |
| NPI Number | 1942851951 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Medicare PECOS PAC ID | 3971834185 |
|---|---|
| Medicare Enrollment ID | O20191018000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942851951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Secondary |
| 225100000X | Physical Therapist | (NU) | Primary |
| Provider Name | Faisal a Quintar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770041105 PECOS PAC ID: 6305279571 Enrollment ID: I20200124000322 |
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