Healthcare Provider Details

I. General information

NPI: 1609900869
Provider Name (Legal Business Name): MEZEY & KRAINSON MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 SW 120TH ST SUITE 117
MIAMI FL
33186-9066
US

IV. Provider business mailing address

12600 SW 120TH ST SUITE 117
MIAMI FL
33186-9066
US

V. Phone/Fax

Practice location:
  • Phone: 305-255-0777
  • Fax: 305-255-1067
Mailing address:
  • Phone: 305-255-0777
  • Fax: 305-255-1067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT J MEZEY
Title or Position: PRESIDENT
Credential: MD
Phone: 305-255-0777