=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497772297
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SINAI PERINATAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2006
-----------------------------------------------------
Last Update Date | 12/19/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4101 NW 4TH ST SUITE 309
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317-2836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-377-0370
-----------------------------------------------------
Fax | 954-377-0375
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4101 NW 4TH ST SUITE 309
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317-2836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-377-0370
-----------------------------------------------------
Fax | 954-377-0375
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DOREL ABRAMOVOCI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 954-377-0370
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VM0101X
-----------------------------------------------------
Taxonomy Name | Maternal & Fetal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------