1619938776 NPI number — ARTHUR FINNIESTON INC

Table of content: (NPI 1619938776)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619938776 NPI number — ARTHUR FINNIESTON INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHUR FINNIESTON 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:
6
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:
1619938776
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3901 PARK 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:
33133-6435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-233-9195
Provider Business Mailing Address Fax Number:
305-233-9145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8353 SW 124TH ST
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33156-5847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-233-9195
Provider Business Practice Location Address Fax Number:
305-233-9145
Provider Enumeration Date:
03/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FINNIESTON
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
ROSS
Authorized Official Title or Position:
PRESIDENT OWNER
Authorized Official Telephone Number:
305-233-9195

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X , with the licence number: 5999803 , 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: 027668500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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