Provider Demographics
NPI:1184658726
Name:FLORIDA HEALTHCARE ASSOCIATES PL
Entity Type:Organization
Organization Name:FLORIDA HEALTHCARE ASSOCIATES PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROOPTAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-736-8600
Mailing Address - Street 1:10075 JOG RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3535
Mailing Address - Country:US
Mailing Address - Phone:561-736-8600
Mailing Address - Fax:561-736-7191
Practice Address - Street 1:10075 JOG RD
Practice Address - Street 2:SUITE 301
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3535
Practice Address - Country:US
Practice Address - Phone:561-736-8600
Practice Address - Fax:561-736-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2236Medicare ID - Type Unspecified