Healthcare Provider Details
I. General information
NPI: 1073913133
Provider Name (Legal Business Name): HEALTH PROFESSIONAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
351 NW 42ND AVE SUITE 503
MIAMI FL
33126-5683
US
IV. Provider business mailing address
351 NW 42ND AVE SUITE 503
MIAMI FL
33126-5683
US
V. Phone/Fax
- Phone: 305-444-1244
- Fax: 305-971-8014
- Phone: 305-444-1244
- Fax: 305-971-8014
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | ME0045734 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
JUAN
M
GARCES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-444-1244