Individual ProviderSherin GhaliInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1475 NW 12th Ave, Miami, FL 33136-1002(305) 243-4900PECOS EnrollmentBased on the most recent information from CMS, provider Sherin Ghali is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194771105Provider TypeIndividualFull NameGhali, SherinCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/25/2006Last Updated11/4/2014Contact InformationPractice LocationPractice Address1475 NW 12th Ave, Miami, FL 33136-1002Phone(305) 243-4900FaxUnlisted FaxMailing LocationMailing Address1475 NW 12th Ave, Miami, FL 33136-1002Phone(305) 243-4900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME119528FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD060249PennsylvaniaProvider IdentifiersIDDescriptionIssuerID01672956DescriptionMedicaidIssuerUnlistedPennsylvania