Healthcare Provider Details

I. General information

NPI: 1881754653
Provider Name (Legal Business Name): BAHRAMI & AMER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 NE MIAMI GARDENS DRIVE STE #140
NORTH MIAMI BCH FL
33168
US

IV. Provider business mailing address

1380 NE MIAMI GARDENS DRIVE STE #140
NORTH MIAMI BCH FL
33179
US

V. Phone/Fax

Practice location:
  • Phone: 305-948-3990
  • Fax: 305-948-3929
Mailing address:
  • Phone: 305-948-3990
  • Fax: 305-948-3929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number56556
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number58497
License Number StateFL

VIII. Authorized Official

Name: MRS. SHARON WEISS
Title or Position: BILLING MANAGER
Credential:
Phone: 305-492-9900