| Sole Health Llc | |
|
7261 Sheridan St Ste 100d Hollywood FL 33024-2708 | |
| (772) 267-5022 | |
| Not Available |
| Full Name | Sole Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7261 Sheridan St Ste 100d, Hollywood, Florida |
| Authorized Official Name and Position | Kayra Altagracia Cepin Plasencio (CEO) |
| Authorized Official Contact | 9545347696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sole Health Llc 7261 Sheridan Street Suite 100d Hollywood FL 33024 Ph: (954) 534-7696 | Sole Health Llc 7261 Sheridan St Ste 100d Hollywood FL 33024-2708 Ph: (772) 267-5022 |
| NPI Number | 1588119291 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7214296219 |
|---|---|
| Medicare Enrollment ID | O20180119002774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588119291 | NPI | - | NPPES |
| 022764400 | Medicaid | FL |
| Provider Name | Kayra Cepin Placencio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780841809 PECOS PAC ID: 4082759576 Enrollment ID: I20130325000124 |
| Provider Name | Luis E Vicioso Peralta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831356724 PECOS PAC ID: 3274677158 Enrollment ID: I20130716000610 |
| Provider Name | Nelia Esther Sanchez-crespo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790990851 PECOS PAC ID: 3577650803 Enrollment ID: I20130823000408 |
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