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Professional Healthcare Medical Management, Inc
Exclusive Provider Organization in Miami, Florida
NPI 1437468477

Professional Healthcare Medical Management, Inc is a Exclusive Provider Organization based in Miami, FL. Professional Healthcare Medical Management, Inc practices in Miami, FL. The NPI Number for Professional Healthcare Medical Management, Inc is 1437468477 and holds a License No. (Florida).

The current practice location address for Professional Healthcare Medical Management, Inc is 1250 S Miami Ave, Miami, FL and can be reached out via phone at 786-299-9529. You can also correspond with Professional Healthcare Medical Management, Inc through the mailing address at 1250 S MIAMI AVE, MIAMI, FL - 33130-4100 (mailing address contact number: ).

Location: 1250 S Miami Ave, Miami, FL, 33130-4100
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Provider Profile Details
NPI Number
1437468477
Provider Name
Professional Healthcare Medical Management, Inc
Credential
Provider Entity Type
Organization
Address
1250 S Miami Ave, Miami, FL, 33130-4100
Phone Number
786-299-9529
Fax Number
Provider Enumeration Date
09/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1250 S Miami Ave
City
State
Zip
33130-4100
Phone Number
786-299-9529
Fax Number
person
Provider Business Mailing Address Details
Address
1250 S Miami Ave
City
State
Zip
33130-4100
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
License No.
()
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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