1780308585 NPI number — A-ROD SCOPE CORP VOL.2

Table of content: MRS. KAREN PIERCE PA-C (NPI 1336126952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780308585 NPI number — A-ROD SCOPE CORP VOL.2

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A-ROD SCOPE CORP VOL.2
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:
1780308585
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8330 NW 10TH ST APT 8
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:
33126-2717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-545-6317
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4310 SHERIDAN ST STE 201A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33021-3554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-961-1900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2022

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
ARIANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
786-545-6317

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 803324005 . This is a "ADA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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