Healthcare Provider Details

I. General information

NPI: 1447304134
Provider Name (Legal Business Name): METRO-MIAMI OB/GYN ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NW 170TH ST STE 304
NORTH MIAMI BEACH FL
33169-5511
US

IV. Provider business mailing address

100 NW 170TH ST SUITE 304
NORTH MIAMI BEACH FL
33169-5511
US

V. Phone/Fax

Practice location:
  • Phone: 305-653-4105
  • Fax: 305-652-3566
Mailing address:
  • Phone: 305-653-4105
  • Fax: 305-652-3566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ATA ATOGHO
Title or Position: OWNER
Credential: M.D.
Phone: 305-653-4105