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Contact Information

1055 WASHINGTON AVENUE, INC
1055 WASHINGTON AVE
MIAMI BEACH, FL33139-5017
 Phone: 305-534-9009
 Fax: 305-532-5942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for 1055 WASHINGTON AVENUE, INC

NPI # 1598104986
LBN Legal business name 1055 WASHINGTON AVENUE, INC
Authorized official J.R. RODRIGUEZ - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2013
Last updated 06/18/2013 - About 13 years ago
Identifiers
FL License # CH10107
FL License # ME50089
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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