Healthcare Provider Details

I. General information

NPI: 1255196424
Provider Name (Legal Business Name): ALLERGY 87 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9075 SW 87TH AVE STE 414
MIAMI FL
33176-2308
US

IV. Provider business mailing address

9075 SW 87TH AVE STE 414
MIAMI FL
33176-2308
US

V. Phone/Fax

Practice location:
  • Phone: 305-273-5060
  • Fax: 305-274-0003
Mailing address:
  • Phone: 305-273-5060
  • Fax: 305-274-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: YAMEN HAFED
Title or Position: MD
Credential: MD
Phone: 305-273-5060