Provider Demographics
NPI:1144760935
Name:ON-CALL MEDICINE LLC
Entity Type:Organization
Organization Name:ON-CALL MEDICINE LLC
Other - Org Name:ON-CALL MEDICINE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HINA
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-235-9793
Mailing Address - Street 1:3727 SARATOGA LN
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1308
Mailing Address - Country:US
Mailing Address - Phone:954-235-9793
Mailing Address - Fax:
Practice Address - Street 1:3727 SARATOGA LN
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-1308
Practice Address - Country:US
Practice Address - Phone:954-235-9793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
FLOS 10689282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS106089OtherFLORIDA LICENSE