Healthcare Provider Details

I. General information

NPI: 1154225761
Provider Name (Legal Business Name): PAPA DOCS KS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

390 NE 191ST ST STE 17051
MIAMI FL
33179-3899
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 StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

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