Healthcare Provider Details
I. General information
NPI: 1598043101
Provider Name (Legal Business Name): HEALTHCARE DIRECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2011
Last Update Date: 07/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13232 SW 8TH ST
MIAMI FL
33184-1176
US
IV. Provider business mailing address
13232 SW 8TH ST
MIAMI FL
33184-1176
US
V. Phone/Fax
- Phone: 305-553-9655
- Fax: 305-553-9688
- Phone: 305-553-9655
- Fax: 305-553-9688
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | OS7645 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OS7645 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
TIFFANY
L
BERKSHIRE
Title or Position: PRESIDENT
Credential: DO
Phone: 305-553-9655