Healthcare Provider Details

I. General information

NPI: 1346690468
Provider Name (Legal Business Name): ALAN HYMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD STE 220
MIAMI BEACH FL
33140
US

IV. Provider business mailing address

4302 ALTON RD STE 220
MIAMI BEACH FL
33140-2818
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2090
  • Fax: 305-674-2093
Mailing address:
  • Phone: 305-674-2090
  • Fax: 305-674-2093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberD0090280
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberME138799
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: