Healthcare Provider Details

I. General information

NPI: 1093639130
Provider Name (Legal Business Name): PAPA DOCS MID-ATLANTIC MEDICAL SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO STREET
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

500 PATERSON PLANK RD STE 31128
UNION CITY NJ
07087-3416
US

V. Phone/Fax

Practice location:
  • Phone: 786-432-0117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS FORDHAM BREWER
Title or Position: OWNER
Credential: MD
Phone: 859-327-2792