Healthcare Provider Details

I. General information

NPI: 1346313194
Provider Name (Legal Business Name): SOUTH MIAMI INPATIENT PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 02/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST BOX 69
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

3441 3RD AVE SW
NAPLES FL
34117-3019
US

V. Phone/Fax

Practice location:
  • Phone: 786-662-5465
  • Fax: 786-662-5334
Mailing address:
  • Phone: 305-231-1204
  • Fax: 305-901-1482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GHASSAN HADDAD
Title or Position: DIRECTOR
Credential: MD
Phone: 786-662-5465