Healthcare Provider Details

I. General information

NPI: 1417686403
Provider Name (Legal Business Name): DOCTORS ON CALL 365
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SHERIDAN ST STE 171
PEMBROKE PINES FL
33024-8803
US

IV. Provider business mailing address

2610 BASS WAY
HOLLYWOOD FL
33026-3682
US

V. Phone/Fax

Practice location:
  • Phone: 786-577-9302
  • Fax:
Mailing address:
  • Phone: 302-824-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALON PAYENSON
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 302-824-3800