MEDICARE: I & B MEDICAL ASSOCIATES INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437211356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I & B MEDICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	9400 NW 12TH AVE STE 1
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2026
Country	:	US
Telephone Number	:	305-835-9264
Fax Number	:	305-835-9354

Provider Business Practice Location Address
First Line	:	9400 NW 12TH AVE STE 1
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2026
Country	:	US
Telephone Number	:	305-835-9264
Fax Number	:	305-835-9354

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	ETZER DOLCE
Credential	:
Telephone Number	:	305-901-6251

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	05/26/2022

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Directions to “I & B MEDICAL ASSOCIATES INC ” Practice Location

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