Healthcare Provider Details

I. General information

NPI: 1750700787
Provider Name (Legal Business Name): VINOD JORAPUR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 12/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 470
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

6039 COLLINS AVE SUITE 1226
MIAMI BEACH FL
33140-2203
US

V. Phone/Fax

Practice location:
  • Phone: 305-325-0809
  • Fax:
Mailing address:
  • Phone: 305-202-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME101779
License Number StateFL

VIII. Authorized Official

Name: DR. VINOD JORAPUR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-202-4264