OrganizationInnovation Medical Center IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address1140 W 50th St, 302, Hialeah, FL 33012-3440(786) 305-4466PECOS EnrollmentBased on the most recent information from CMS, provider Innovation Medical Center Inc 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 4:18 PM.Profile DetailsProvider ID1245673763Provider TypeOrganizationFull NameInnovation Medical Center IncSubpartNoEnumeration Date4/15/2013Last Updated4/15/2013Contact InformationPractice LocationPractice Address1140 W 50th St, 302, Hialeah, FL 33012-3440Phone(786) 305-4466FaxUnlisted FaxMailing LocationMailing Address1140 W 50th St, 302, Hialeah, FL 33012-3440Phone(786) 305-4466FaxUnlisted FaxAuthorized OfficialNameLopez, Elcida (President)Phone(786) 305-4466Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseMA32226FloridaProvider IdentifiersIDDescriptionIssuerIDMA32226DescriptionOtherIssuerPROFESSIONAL LICENSEFlorida