PHYSICIANS CREEK INC NPI 1700278298

NPI Information

NPI: 1700278298
Provider Name: PHYSICIANS CREEK INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2040 NE 163RD ST STE 204
NORTH MIAMI BEACH, FL
ZIP 33162
Phone: (305) 720-4004
Get Directions

PHYSICIANS CREEK INC is a general practice in North Miami Beach, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICIANS CREEK INC NPI is 1700278298. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2040 NE 163RD ST STE 204
NORTH MIAMI BEACH, FL
ZIP 33162-953
Phone: (305) 720-4004

The provider's authorized official is Adam M Au .
The authorized official title is Ceo and has the following contact phone number (305) 720-4004.

The enumeration date for this NPI number is 2/20/2015 and was last updated on 7/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		OS 11940	FLORIDA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	OS 11940	FLORIDA	No
3	208D00000X	General Practice		OS 11940	FLORIDA	Yes
4	208M00000X	Hospitalist		OS 11940	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100892400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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