1477053569 DEDICATED PENNSYLVANIA HOLDING, LLC

Specialist

Active

Basic Information

Organization Name
DEDICATED PENNSYLVANIA HOLDING, LLC
Enumeration Date
February 15, 2018
Last Update
March 27, 2018
Authorized Official
MR. RAYMOND JIMENEZ
DIRECTOR OF CLIENT SERVICES
Phone: (786) 870-4039

Practice Location

Address
6431 SACKETT ST
PHILADELPHIA, PA 191493118
Phone
(305) 628-6117
Fax
(305) 363-5989

Mailing Address

Address
1395 N.W/ 167TH STREET
PAYER ENROLLMENT DEPARTMENT
MIAMI GARDENS, FL 33169
Phone
(786) 870-4039
Fax
(786) 870-4039

Specialties & Taxonomies

Specialty Code Classification License State Primary
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
Primary Care Clinic/Center
Primary Care
261QP2300X Clinic/Center N/A N/A No
Non-Pharmacy Dispensing Site
332900000X Non-Pharmacy Dispensing Site N/A N/A No
Specialist
174400000X Specialist N/A N/A Primary

Frequently Asked Questions

What is DEDICATED PENNSYLVANIA HOLDING, LLC's NPI number?
DEDICATED PENNSYLVANIA HOLDING, LLC's NPI number is 1477053569.
Which doctor has NPI number 1477053569?
The doctor with NPI number 1477053569 is DEDICATED PENNSYLVANIA HOLDING, LLC.
What is DEDICATED PENNSYLVANIA HOLDING, LLC's practice address?
DEDICATED PENNSYLVANIA HOLDING, LLC's practice address is 6431 SACKETT ST, PHILADELPHIA, PA, 191493118.
Which doctor practices at 6431 SACKETT ST, PHILADELPHIA, PA, 191493118?
DEDICATED PENNSYLVANIA HOLDING, LLC practices at 6431 SACKETT ST, PHILADELPHIA, PA, 191493118.
What is DEDICATED PENNSYLVANIA HOLDING, LLC's mailing address?
DEDICATED PENNSYLVANIA HOLDING, LLC's mailing address is 1395 N.W/ 167TH STREET, PAYER ENROLLMENT DEPARTMENT, MIAMI GARDENS, FL, 33169.
What is DEDICATED PENNSYLVANIA HOLDING, LLC's phone number?
DEDICATED PENNSYLVANIA HOLDING, LLC's phone number is (305) 628-6117.
Who is (305) 628-6117?
(305) 628-6117 is the phone number for DEDICATED PENNSYLVANIA HOLDING, LLC.
What is DEDICATED PENNSYLVANIA HOLDING, LLC's specialty?
DEDICATED PENNSYLVANIA HOLDING, LLC's specialty is Specialist.
What type of doctor is DEDICATED PENNSYLVANIA HOLDING, LLC?
DEDICATED PENNSYLVANIA HOLDING, LLC is a Specialist.
Is DEDICATED PENNSYLVANIA HOLDING, LLC a Specialist?
Yes, DEDICATED PENNSYLVANIA HOLDING, LLC is a Specialist.
Is DEDICATED PENNSYLVANIA HOLDING, LLC still practicing?
Yes, DEDICATED PENNSYLVANIA HOLDING, LLC is currently practicing.
Is DEDICATED PENNSYLVANIA HOLDING, LLC accepting new patients?
DEDICATED PENNSYLVANIA HOLDING, LLC may be accepting new patients. Please call their office at (305) 628-6117 to inquire about availability.
Is NPI 1477053569 still active?
Yes, NPI 1477053569 is currently active.
Where does DEDICATED PENNSYLVANIA HOLDING, LLC practice?
DEDICATED PENNSYLVANIA HOLDING, LLC practices in PHILADELPHIA, PA.