| South Miami Medical Center Inc | |
|
111 Nw 183rd St Ste 405 Miami Gardens FL 33169-4619 | |
| (786) 250-4089 | |
| Not Available |
| Full Name | South Miami Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Nw 183rd St Ste 405, Miami Gardens, Florida |
| Authorized Official Name and Position | Amaury Rodriguez Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7869358349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Miami Medical Center Inc 111 Nw 183rd St Ste 405 Miami Gardens FL 33169-4619 Ph: (786) 935-8349 | South Miami Medical Center Inc 111 Nw 183rd St Ste 405 Miami Gardens FL 33169-4619 Ph: (786) 250-4089 |
| NPI Number | 1821669193 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 9133666118 |
|---|---|
| Medicare Enrollment ID | O20240808000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821669193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tony Nguyen |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1861854671 PECOS PAC ID: 7618242397 Enrollment ID: I20171005001419 |
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