OrganizationMedplan Clinic, LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address900 W 49th St Ste 308, Hialeah, FL 33012-3435(305) 801-6952(786) 641-5348PECOS EnrollmentBased on the most recent information from CMS, provider Medplan Clinic, 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 ID1699198143Provider TypeOrganizationFull NameMedplan Clinic, LlcSubpartNoEnumeration Date2/3/2014Last Updated6/12/2017Contact InformationPractice LocationPractice Address900 W 49th St Ste 308, Hialeah, FL 33012-3435Phone(305) 801-6952FaxUnlisted FaxMailing LocationMailing Address8750 NW 36th Street, Suite 300, Doral, FL 33178Phone(786) 641-5348FaxUnlisted FaxAuthorized OfficialNameIglesias, Manuel (Ceo)Phone(786) 641-5348Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDO18781000DescriptionMedicaidIssuerUnlistedFlorida