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NPI Code Detail

MEDICARE: ISABEL SOUFFRONT M.D.

MEDICARE:   ISABEL  SOUFFRONT  M.D.
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
1207Q00000XFamily Medicine Physician209518NY

Other Identifiers

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

General Provider Information

NPI Number : 1447361662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL SOUFFRONT M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 646-778-5550
Fax Number :
Provider Business Practice Location Address
First Line : 848 N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4316
Country : US
Telephone Number : 954-420-7324
Fax Number : 954-781-0860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/01/2023

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Directions to “ ISABEL SOUFFRONT M.D.” Practice Location

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