OrganizationPalm Medical Center Little Havana, LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address2501 SW 8th St, Miami, FL 33135-3005(305) 642-9992(305) 913-9447PECOS EnrollmentBased on the most recent information from CMS, provider Palm Medical Center Little Havana, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1497271118Provider TypeOrganizationFull NamePalm Medical Center Little Havana, LlcSubpartNoEnumeration Date8/15/2017Last Updated6/16/2018Contact InformationPractice LocationPractice Address2501 SW 8th St, Miami, FL 33135-3005Phone(305) 642-9992Fax(305) 442-1198Mailing LocationMailing Address2600 S Douglas Rd Ste 308, Coral Gables, FL 33134-6134Phone(305) 913-9447Fax(305) 442-1198Authorized OfficialNameMorales, Marlen (Compliance Officer)Phone(305) 913-9447Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC11110FloridaProvider IdentifiersIDDescriptionIssuerIDHCC11110DescriptionOtherIssuerAGENCY FOR HEALTH CARE ADMINISTRATION LICENSE NUMBERFlorida