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NPI Code Detail

MEDICARE: FLORIDA PACE CENTERS, INC.

MEDICARE: FLORIDA PACE CENTERS, INC.
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
1302R00000XHealth Maintenance Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760424287
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA PACE CENTERS, INC.
Provider Business Mailing Address
First Line : 5200 NE 2ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33137-2706
Country : US
Telephone Number : 305-795-8410
Fax Number : 305-762-3847
Provider Business Practice Location Address
First Line : 5200 NE 2ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33137-2706
Country : US
Telephone Number : 305-795-8410
Fax Number : 305-762-3847
Authorized Official
Title or Position : CHIEF OPERATING OFFICE
Name : MARIA LANE
Credential :
Telephone Number : 305-795-1890
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/05/2025

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Directions to “FLORIDA PACE CENTERS, INC. ” Practice Location

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