1366888000 NPI number — AFFILIATED HEALTHCARE CENTERS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366888000 NPI number — AFFILIATED HEALTHCARE CENTERS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AFFILIATED HEALTHCARE CENTERS, 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:
1366888000
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8000 SW 67TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33143-7702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-666-8883
Provider Business Mailing Address Fax Number:
305-666-8888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2901 WEST OAKLAND PARK BLVD
Provider Second Line Business Practice Location Address:
SUITE A23
Provider Business Practice Location Address City Name:
FT LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-666-8883
Provider Business Practice Location Address Fax Number:
305-666-8888
Provider Enumeration Date:
05/21/2013

Additional Information

Authorized Official

Authorized Official Last Name:
BURAK
Authorized Official First Name:
BARRY
Authorized Official Middle Name:
NORMAN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
305-666-8883

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH3085 , 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)





Copyright © 2007-2025 www.npivalidator.com