Healthcare Provider Details
I. General information
NPI: 1801881867
Provider Name (Legal Business Name): STERLING EMERGENCY PHYSICIANS OF HIALEAH PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
651 E 25TH ST
HIALEAH FL
33013-3814
US
IV. Provider business mailing address
PO BOX 534221
ATLANTA GA
30353-4221
US
V. Phone/Fax
- Phone: 305-693-6100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHEN
DRESNICK
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 866-266-9874