Provider Demographics
NPI:1043405665
Name:EILEEN TURBESSI MDPA
Entity Type:Organization
Organization Name:EILEEN TURBESSI MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURBESSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-853-5214
Mailing Address - Street 1:8660 W FLAGLER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2033
Mailing Address - Country:US
Mailing Address - Phone:305-227-3884
Mailing Address - Fax:305-554-4833
Practice Address - Street 1:91550 OVERSEAS HWY STE 109
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2513
Practice Address - Country:US
Practice Address - Phone:305-853-5214
Practice Address - Fax:305-853-5218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0090564207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6045OtherMEDICARE GROUP NUMBER
FLF98130Medicare UPIN
FLK6045Medicare PIN