| Royall Inpatient Physicians | |
|
2001 W 68th St Hialeah FL 33016-1801 | |
| (954) 525-0407 | |
| Not Available |
| Full Name | Royall Inpatient Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Jennifer Provasnik (SUPERVISOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8003550808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royall Inpatient Physicians Po Box 42936 Philadelphia PA 19101-2936 Ph: (800) 355-0808 | Royall Inpatient Physicians 2001 W 68th St Hialeah FL 33016-1801 Ph: (954) 525-0407 |
| NPI Number | 1265630768 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265630768 | NPI | - | NPPES |
| 269609600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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