Healthcare Provider Details

I. General information

NPI: 1700984747
Provider Name (Legal Business Name): HEMORRHOID CENTER OF SOUTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16800 NW 2ND AVE SUITE 606
NORTH MIAMI BEACH FL
33169-5549
US

IV. Provider business mailing address

1950 OLD GALLOWS RD SUITE 220
VIENNA VA
22182-3990
US

V. Phone/Fax

Practice location:
  • Phone: 305-493-3336
  • Fax:
Mailing address:
  • Phone: 703-556-6620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH MARK ABRAMOWITZ
Title or Position: MANAGER
Credential:
Phone: 305-493-3336