Healthcare Provider Details
I. General information
NPI: 1437549276
Provider Name (Legal Business Name): ANDREA GOLD SCHEIN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2015
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4302 ALTON RD
MIAMI BEACH FL
33140-2891
US
IV. Provider business mailing address
4302 ALTON RD
MIAMI BEACH FL
33140-2891
US
V. Phone/Fax
- Phone: 305-672-4848
- Fax:
- Phone: 305-672-4848
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREA
GOLD SCHEIN
Title or Position: OWNER
Credential: MD
Phone: 305-672-4848