| Soran Health Llc | |
|
18540 Sw 43rd St Miramar FL 33029-2776 | |
| (541) 306-0910 | |
| Not Available |
| Full Name | Soran Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18540 Sw 43rd St, Miramar, Florida |
| Authorized Official Name and Position | Marlow B Hernandez (CO-FOUNDER) |
| Authorized Official Contact | 9544483647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soran Health Llc 18540 Sw 43rd St Miramar FL 33029-2776 Ph: (541) 306-0910 | Soran Health Llc 18540 Sw 43rd St Miramar FL 33029-2776 Ph: (541) 306-0910 |
| NPI Number | 1518747401 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 0345696829 |
|---|---|
| Medicare Enrollment ID | O20231020000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518747401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marlow Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568755221 PECOS PAC ID: 1658555941 Enrollment ID: I20130117000164 |
| Provider Name | Richard Aguilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528024056 PECOS PAC ID: 1355343492 Enrollment ID: I20161103001547 |
| Provider Name | Brenda Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158747 PECOS PAC ID: 6204266778 Enrollment ID: I20200423002605 |
| Provider Name | Gina Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447655741 PECOS PAC ID: 0244530640 Enrollment ID: I20200508002028 |
| Provider Name | Jezlyn Vargas Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184393258 PECOS PAC ID: 3678966017 Enrollment ID: I20220208002216 |
| Provider Name | Francine Colas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083114912 PECOS PAC ID: 0648626770 Enrollment ID: I20231026001237 |
| Provider Name | Juan Rafael Perez Almeida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942081765 PECOS PAC ID: 2466809967 Enrollment ID: I20231106000268 |
| Provider Name | Lissette Maria Yanez-cosculluela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487384640 PECOS PAC ID: 9537511092 Enrollment ID: I20240119002533 |
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