1316065162 NPI number — MVP CARDIOVASCULAR SERVICES

Table of content: MARSHA LESLIE COHEN NP (NPI 1629281043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316065162 NPI number — MVP CARDIOVASCULAR SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MVP CARDIOVASCULAR SERVICES
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:
1316065162
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7171 SW 62 AVENUE
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-667-5878
Provider Business Mailing Address Fax Number:
305-668-5763

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7171 SW 62ND AVE
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
SOUTH MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33143-4723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-667-5878
Provider Business Practice Location Address Fax Number:
305-668-5763
Provider Enumeration Date:
03/27/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MEIRELES
Authorized Official First Name:
ROSANA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
305-667-5878

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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