Healthcare Provider Details
I. General information
NPI: 1891264800
Provider Name (Legal Business Name): INPATIENT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2018
Last Update Date: 11/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5190 SW 8TH ST
CORAL GABLES FL
33134-2476
US
IV. Provider business mailing address
8600 SW 92ND ST STE 204A
MIAMI FL
33156-7377
US
V. Phone/Fax
- Phone: 305-661-9404
- Fax:
- Phone: 305-436-9933
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAVIER
PEREZ-FERNANDEZ
Title or Position: MD
Credential: MD
Phone: 305-661-9404