MEDICARE: PROFESSIONAL HEALTHCARE ASSOCIATES LLC

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	ME45897	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME45897	FL
3	207RP1001X	Pulmonary Disease Physician	ME45897	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760660021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL HEALTHCARE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	8950 SW 57TH AVE
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-2133
Country	:	US
Telephone Number	:	305-322-4116
Fax Number	:	305-666-2252

Provider Business Practice Location Address
First Line	:	8950 SW 57TH AVE
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-2133
Country	:	US
Telephone Number	:	305-322-4116
Fax Number	:	305-666-2252

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. RICHARD STEVEN PRAGER
Credential	:	MD
Telephone Number	:	305-322-4116

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	10/21/2014

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Directions to “PROFESSIONAL HEALTHCARE ASSOCIATES LLC ” Practice Location

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