MEDICARE: PEAK HEALTH LLC

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	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

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

General Provider Information

NPI Number	:	1871297184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK HEALTH LLC

Provider Business Mailing Address
First Line	:	215 WESTWARD DR
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5259
Country	:	US
Telephone Number	:	305-887-4494
Fax Number	:	305-887-4494

Provider Business Practice Location Address
First Line	:	215 WESTWARD DR
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-5259
Country	:	US
Telephone Number	:	305-887-4494
Fax Number	:	305-887-4494

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	JORGE VALCOURT
Credential	:
Telephone Number	:	305-764-0194

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	04/09/2026

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Directions to “PEAK HEALTH LLC ” Practice Location

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