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General NPI Number Information
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NPI Number | 1366729154
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Entity Type | Organization
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Legal Business Name | MOSHE ASHKENAZI MD INC
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 2301 N UNIVERSITY DR STE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3617
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Country | US
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Telephone | 954-965-2870
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Fax |
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Provider Business Mailing Address
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Address Line | 922 VAN BUREN ST
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City | HOLLYWOOD
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State | FL
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Zip | 33019-1637
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Country | US
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Telephone | 954-965-2870
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Fax |
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Authorized Official
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Title or Position | PD
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Name | DR. MOSHE ASHKENAZI
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Credential | M.D
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Telephone | 954-965-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME26813
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License Number State | FL
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