| Island Fever Llc | |
|
1301 Punchbowl St Honolulu HI 96813-2402 | |
| (808) 538-9011 | |
| Not Available |
| Full Name | Island Fever Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Punchbowl St, Honolulu, Hawaii |
| Authorized Official Name and Position | Jonathan David Dworkin (OWNER) |
| Authorized Official Contact | 8084543949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Fever Llc Po Box 25490 Honolulu HI 96825-0490 Ph: (808) 536-0300 | Island Fever Llc 1301 Punchbowl St Honolulu HI 96813-2402 Ph: (808) 538-9011 |
| NPI Number | 1689913162 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Medicare PECOS PAC ID | 6204071939 |
|---|---|
| Medicare Enrollment ID | O20130328000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689913162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD-15131 (Hawaii) | Primary |
| Provider Name | Jonathan Dworkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699973503 PECOS PAC ID: 3678619491 Enrollment ID: I20091008000516 |
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