Healthcare Provider Details
I. General information
NPI: 1497772297
Provider Name (Legal Business Name): SINAI PERINATAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2006
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4101 NW 4TH ST SUITE 309
PLANTATION FL
33317-2836
US
IV. Provider business mailing address
4101 NW 4TH ST SUITE 309
PLANTATION FL
33317-2836
US
V. Phone/Fax
- Phone: 954-377-0370
- Fax: 954-377-0375
- Phone: 954-377-0370
- Fax: 954-377-0375
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DOREL
ABRAMOVOCI
Title or Position: PRESIDENT
Credential: MD
Phone: 954-377-0370