Healthcare Provider Details

I. General information

NPI: 1740375138
Provider Name (Legal Business Name): ASCLEPIUS ASSOCIATESINC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 SW 25 AVE
MIAMI FL
33135
US

IV. Provider business mailing address

807 SW 25 AVE
MIAMI FL
33135
US

V. Phone/Fax

Practice location:
  • Phone: 786-306-7568
  • Fax: 305-251-0709
Mailing address:
  • Phone: 786-306-7568
  • Fax: 305-251-0709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME58165
License Number StateFL

VIII. Authorized Official

Name: EDUARDO HERRERA
Title or Position: PRESIDENT
Credential:
Phone: 786-306-7568