Healthcare Provider Details

I. General information

NPI: 1760801922
Provider Name (Legal Business Name): MOUNT SINAI MEDICAL CENTER, FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD DEPARTMENT OF INTERNAL MEDICINE
MIAMI BEACH FL
33140-2948
US

IV. Provider business mailing address

4300 ALTON RD DEPARTMENT OF INTERNAL MEDICINE
MIAMI BEACH FL
33140-2948
US

V. Phone/Fax

Practice location:
  • Phone: 786-546-0256
  • Fax:
Mailing address:
  • Phone: 786-546-0256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberTRN#17379
License Number StateFL

VIII. Authorized Official

Name: DR. APRAJITA JAGPAL
Title or Position: RESIDENT
Credential: MD
Phone: 786-546-0256