MEDICARE: BAHRAMI & AMER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	56556	FL
2	207RC0000X	Cardiovascular Disease Physician	58497	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33032	OTHER	FL	FLORIDA BLUE SHIELD

General Provider Information

NPI Number	:	1881754653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAHRAMI & AMER PA

Provider Business Mailing Address
First Line	:	1380 NE MIAMI GARDENS DRIVE STE #140
Second Line	:
City	:	NORTH MIAMI BCH
State	:	FL
Zip	:	33179
Country	:	US
Telephone Number	:	305-948-3990
Fax Number	:	305-948-3929

Provider Business Practice Location Address
First Line	:	1380 NE MIAMI GARDENS DRIVE STE #140
Second Line	:
City	:	NORTH MIAMI BCH
State	:	FL
Zip	:	33168
Country	:	US
Telephone Number	:	305-948-3990
Fax Number	:	305-948-3929

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. SHARON WEISS
Credential	:
Telephone Number	:	305-492-9900

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	09/24/2007

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Directions to “BAHRAMI & AMER PA ” Practice Location

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