EAST MEDICAL OFFICE NPI 1801314190

NPI Information

NPI: 1801314190
Provider Name: EAST MEDICAL OFFICE

Former Legal Business Name: N/A

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3778 W 12TH AVE
HIALEAH, FL
ZIP 33012
Phone: (305) 510-1190
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EAST MEDICAL OFFICE is a general practice in Hialeah, FL. EAST MEDICAL OFFICE NPI is 1801314190. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is N/a.

The provider's business location address is:

3778 W 12TH AVE
HIALEAH, FL
ZIP 33012-126
Phone: (305) 510-1190
Fax: (786) 534-7238

The provider's authorized official is David Boasc .
The authorized official title is Precident and has the following contact phone number (305) 510-1190.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 7/21/2022.

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	208D00000X	General Practice		HCC11133	FLORIDA	Yes

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	HCC1133	OTHER	FLORIDA	HEALTHCARE CLINIC

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: 11/14/2023

NPI Synchronization or Removal

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