Healthcare Provider Details

I. General information

NPI: 1235669110
Provider Name (Legal Business Name): FISHERMENS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 OVERSEAS HWY
MARATHON FL
33050-2329
US

IV. Provider business mailing address

6855 S RED RD STE 600
SOUTH MIAMI FL
33143-3518
US

V. Phone/Fax

Practice location:
  • Phone: 305-743-5533
  • Fax:
Mailing address:
  • Phone: 786-662-7980
  • Fax: 786-533-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. DREW GROSSMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 786-662-7111