1881714459 NPI number — CHRIS WILLIAM AKINS MD PA

Table of content: (NPI 1881714459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881714459 NPI number — CHRIS WILLIAM AKINS MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRIS WILLIAM AKINS MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881714459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 816759
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33081-0759
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-964-2450
Provider Business Mailing Address Fax Number:
954-964-6084

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3850 HOLLYWOOD BLVD
Provider Second Line Business Practice Location Address:
SUITE 302
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33021-6748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-981-8950
Provider Business Practice Location Address Fax Number:
954-964-6084
Provider Enumeration Date:
03/29/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AKINS
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-981-8950

Provider Taxonomy Codes

  • Taxonomy code: 208G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)