1518355718 NPI number — PWS MEDICAL PA

Table of content: (NPI 1518355718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518355718 NPI number — PWS MEDICAL PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PWS MEDICAL 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:
1518355718
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 560275
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:
33256-0275
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-901-2133
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8200 SW 117TH AVE
Provider Second Line Business Practice Location Address:
#300
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33183-3856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-901-2133
Provider Business Practice Location Address Fax Number:
305-901-2117
Provider Enumeration Date:
12/23/2014

Additional Information

Authorized Official

Authorized Official Last Name:
SAMPER
Authorized Official First Name:
GUILLERMO
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DOCTOR
Authorized Official Telephone Number:
305-901-2133

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME97045 , 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)

  • Identifier: 00419000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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