MEDICARE: BMC PRIMARY CARE SOLUTIONS

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
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1679213797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BMC PRIMARY CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	5313 COLLINS AVE
Second Line	:	SUITE 1005
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140
Country	:	US
Telephone Number	:	305-479-7904
Fax Number	:

Provider Business Practice Location Address
First Line	:	5313 COLLINS AVE
Second Line	:	SUITE 1005
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140
Country	:	US
Telephone Number	:	305-479-7904
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. BARBARA CELEIRO
Credential	:	APRN
Telephone Number	:	305-479-7904

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	03/29/2022

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