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NPI Code Detail

MEDICARE: TRIBECA INFUSION

MEDICARE: TRIBECA INFUSION
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
1363L00000XNurse Practitioner
2207R00000XInternal Medicine Physician
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1538923560
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIBECA INFUSION
Provider Business Mailing Address
First Line : 777 ARTHUR GODFREY RD STE 300
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3444
Country : US
Telephone Number : 305-763-8832
Fax Number : 305-763-8883
Provider Business Practice Location Address
First Line : 777 ARTHUR GODFREY RD STE 300
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3444
Country : US
Telephone Number : 305-763-8832
Fax Number : 305-763-8883
Authorized Official
Title or Position : CFO
Name : ELLIOT BERTRAM
Credential :
Telephone Number : 305-763-8832
Provider Enumeration Date : 02/09/2024
Last Update Date : 02/13/2024

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Directions to “TRIBECA INFUSION ” Practice Location

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