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NPI Code Detail

MEDICARE: PASSAGEWAY

MEDICARE: PASSAGEWAY
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
1323P00000XPsychiatric Residential Treatment Facility8332FL

General Provider Information

NPI Number : 1972729846
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASSAGEWAY
Provider Business Mailing Address
First Line : 2255 NW 10TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33127-4919
Country : US
Telephone Number : 305-635-9106
Fax Number : 305-635-4687
Provider Business Practice Location Address
First Line : 2255 NW 10TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33127-4219
Country : US
Telephone Number : 305-635-9106
Fax Number : 305-635-4687
Authorized Official
Title or Position : CASE MANAGER
Name : EMIL G HAZIM
Credential :
Telephone Number : 305-445-4991
Provider Enumeration Date : 04/18/2007
Last Update Date : 03/31/2026

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Directions to “PASSAGEWAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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