Healthcare Provider Details
I. General information
NPI: 1366376048
Provider Name (Legal Business Name): ALTIX MEDICAL AZ PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3030 N CENTRAL AVE STE 507
PHOENIX AZ
85012-2712
US
IV. Provider business mailing address
301 ALMERIA AVE STE 240
CORAL GABLES FL
33134-5822
US
V. Phone/Fax
- Phone: 239-842-6320
- Fax: 645-239-2089
- Phone: 239-842-6320
- Fax: 645-239-2089
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIC
STEWART
BRITTAIN
Title or Position: OWNER
Credential: MD
Phone: 239-842-6320