Healthcare Provider Details

I. General information

NPI: 1053738369
Provider Name (Legal Business Name): PHYSICIANS ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10860 SW 88TH ST
MIAMI FL
33176-2680
US

IV. Provider business mailing address

7360 CORAL WAY SUITE 8
MIAMI FL
33155-1498
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: KEVIN FOX
Title or Position: PRESIDENT
Credential:
Phone: 305-266-1208