OrganizationPac Medical Center LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address4311 Palm Ave, Suit 3, Hialeah, FL 33012-4021(305) 823-7740PECOS EnrollmentBased on the most recent information from CMS, provider Pac Medical Center 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 today at 4:18 PM.Profile DetailsProvider ID1003865296Provider TypeOrganizationFull NamePac Medical Center LlcSubpartNoEnumeration Date5/8/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address4311 Palm Ave, Suit 3, Hialeah, FL 33012-4021Phone(305) 823-7740Fax(305) 823-8527Mailing LocationMailing Address4311 Palm Ave, Suit 3, Hialeah, FL 33012-4021Phone(305) 823-7740Fax(305) 823-8527Authorized OfficialNameHernandez, Juan Julio (Medical Director)Phone(305) 823-7740Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerFlorida