Healthcare Provider Details

I. General information

NPI: 1346597465
Provider Name (Legal Business Name): AMERICAN CONSULTANTS & CLINICAL PHARMACY SERVICES ACCPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 10/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9745 SW 72ND ST STE 109
MIAMI FL
33173-4619
US

IV. Provider business mailing address

9745 SW 72ND ST STE 109
MIAMI FL
33173-4619
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-3000
  • Fax: 305-271-8000
Mailing address:
  • Phone: 305-271-3000
  • Fax: 305-271-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number32023
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8579
License Number StateFL

VIII. Authorized Official

Name: DR. KAVEH KARANDISH
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 305-271-3000