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Contact Information

ACTIVE MEDICAL SERVICES LLC
909 N MIAMI BEACH BLVD STE 403
NORTH MIAMI BEACH, FL33162-3712
 Phone: 305-940-3506
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ACTIVE MEDICAL SERVICES LLC

NPI Number 1790563575
LBN Legal business name ACTIVE MEDICAL SERVICES LLC
Authorized official NATALIA KOGAN - (NP)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2023
Last updated 09/21/2023 - About 3 years ago
Identifiers n/a
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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