Healthcare Provider Details

I. General information

NPI: 1629065941
Provider Name (Legal Business Name): METROPOLITAN HEALTH NETWORKS LT BLUE ZONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18300 NE 19TH AVE
NORTH MIAMI BEACH FL
33179-5000
US

IV. Provider business mailing address

250 S AUSTRALIAN AVE STE 400
WEST PALM BEACH FL
33401-5018
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-7273
  • Fax: 305-949-8025
Mailing address:
  • Phone: 561-805-8500
  • Fax: 561-805-8501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID S GARTNER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 561-805-8500