Healthcare Provider Details

I. General information

NPI: 1043405665
Provider Name (Legal Business Name): EILEEN TURBESSI MDPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91550 OVERSEAS HWY STE 109
TAVERNIER FL
33070-2513
US

IV. Provider business mailing address

8660 W FLAGLER ST STE 200
MIAMI FL
33144-2033
US

V. Phone/Fax

Practice location:
  • Phone: 305-853-5214
  • Fax: 305-853-5218
Mailing address:
  • Phone: 305-227-3884
  • Fax: 305-554-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0090564
License Number StateFL

VIII. Authorized Official

Name: EILEEN TURBESSI
Title or Position: PRESIDENT
Credential: MD
Phone: 305-853-5214