Healthcare Provider Details

I. General information

NPI: 1285723858
Provider Name (Legal Business Name): ANTHONY JAMES JAPOUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S POINTE DR APT 3302 SUITE 3302
MIAMI BEACH FL
33139-7309
US

IV. Provider business mailing address

1000 S POINTE DR APT 3302 SUITE 3302
MIAMI BEACH FL
33139-7309
US

V. Phone/Fax

Practice location:
  • Phone: 202-441-9555
  • Fax: 305-534-8322
Mailing address:
  • Phone: 202-441-9555
  • Fax: 305-534-8322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME89305
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: