Healthcare Provider Details

I. General information

NPI: 1255876439
Provider Name (Legal Business Name): ASSIF PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3969 NW 52ND ST
BOCA RATON FL
33496-2709
US

IV. Provider business mailing address

3969 NW 52ND ST
BOCA RATON FL
33496-2709
US

V. Phone/Fax

Practice location:
  • Phone: 813-422-3277
  • Fax:
Mailing address:
  • Phone: 813-422-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAID ASSIF
Title or Position: OWNER
Credential: MD
Phone: 813-422-3277