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Contact Information

ACADEMIC & CLINICAL INFECTIOUS DISEASES PA
4300 ALTON RD
GREENE PAVILION #450
MIAMI BEACH, FL33140-2800
 Phone: 305-673-5490
 Fax: 305-674-2765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ACADEMIC & CLINICAL INFECTIOUS DISEASES PA

NPI # 1811926611
LBN Legal business name ACADEMIC & CLINICAL INFECTIOUS DISEASES PA
Authorized official JOSEPH CHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 05/13/2014 - About 12 years ago
Identifiers
FL License # 0455154
FL Medicaid 374195800
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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