Healthcare Provider Details

I. General information

NPI: 1437136744
Provider Name (Legal Business Name): HANDRE HURWIT M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 02/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 170TH ST STE 101
NORTH MIAMI BEACH FL
33169-5510
US

IV. Provider business mailing address

100 NW 170TH ST STE 101
NORTH MIAMI BEACH FL
33169-5510
US

V. Phone/Fax

Practice location:
  • Phone: 786-785-0585
  • Fax: 786-780-2145
Mailing address:
  • Phone: 786-785-0585
  • Fax: 786-780-2145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME 44357
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: