1619318474 NPI number — MEDICAL PRACTITIONER HEALTHSYSTEMS, INC.

Table of content: (NPI 1619318474)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619318474 NPI number — MEDICAL PRACTITIONER HEALTHSYSTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDICAL PRACTITIONER HEALTHSYSTEMS, INC.
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:
1619318474
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
311 SW 99TH TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEMBROKE PINES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33025-1065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-432-1812
Provider Business Mailing Address Fax Number:
954-430-3261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4217 SW 64TH AVE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
DAVIE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33314-3446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-432-1812
Provider Business Practice Location Address Fax Number:
954-430-3261
Provider Enumeration Date:
07/09/2013

Additional Information

Authorized Official

Authorized Official Last Name:
HERSHORIN
Authorized Official First Name:
MASON
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-432-1812

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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