Healthcare Provider Details

I. General information

NPI: 1033509179
Provider Name (Legal Business Name): PHYSICIAN OFFICES OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 01/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 W PALM DR
FLORIDA CITY FL
33034-3208
US

IV. Provider business mailing address

646 W PALM DR
FLORIDA CITY FL
33034-3208
US

V. Phone/Fax

Practice location:
  • Phone: 305-242-0883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-999-2817