MEDICARE: ATRIA PHYSICIAN PRACTICE FLORIDA PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154181881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATRIA PHYSICIAN PRACTICE FLORIDA PA

Provider Business Mailing Address
First Line	:	50 COCOANUT ROW STE 100
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-4027
Country	:	US
Telephone Number	:	212-600-2000
Fax Number	:	212-540-0855

Provider Business Practice Location Address
First Line	:	50 COCOANUT ROW STE 100
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-4027
Country	:	US
Telephone Number	:	212-600-2000
Fax Number	:	212-540-0855

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. DAVID DODICK
Credential	:	MD
Telephone Number	:	212-600-2000

Provider Enumeration Date	:	03/20/2024
Last Update Date	:	03/20/2024

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