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NPI Code Detail

MEDICARE: MIAMI ONCOLOGY INSTITUTE PA

MEDICARE: MIAMI ONCOLOGY INSTITUTE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianME31968FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
136-70005OTHERUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3208156OTHERAVMED
4224781OTHERAMERIGROUP
5995088OTHERNEIGHBORHOOD
6442315OTHERMEDICA
700679OTHERHEALTHSUN
810718OTHERTOTAL HEALTH CHOICE
94994248OTHERCIGNA
100027EOTHERPREFERRED CARE

General Provider Information

NPI Number : 1669541967
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI ONCOLOGY INSTITUTE PA
Provider Business Mailing Address
First Line : 747 PONCE DE LEON BLVD
Second Line : SUITE 503A
City : CORAL GABLES
State : FL
Zip : 33134-2049
Country : US
Telephone Number : 305-261-9293
Fax Number : 305-446-6078
Provider Business Practice Location Address
First Line : 747 PONCE DE LEON BLVD STE 503A
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2073
Country : US
Telephone Number : 305-261-9293
Fax Number : 305-446-6078
Authorized Official
Title or Position : PRESIDENT
Name : EDUARDO ENRIQUE ACLE
Credential : MD
Telephone Number : 305-261-9293
Provider Enumeration Date : 11/08/2006
Last Update Date : 06/26/2013

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1598943169 — HUMBERTO C MACHADO JR MD PA
Practice Location Address:
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Directions to “MIAMI ONCOLOGY INSTITUTE PA ” Practice Location

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