Provider Demographics
NPI:1225515497
Name:DREWS, MOSAIDE
Entity Type:Individual
Prefix:
First Name:MOSAIDE
Middle Name:
Last Name:DREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15420 SW 136TH ST UNIT 54
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-2675
Mailing Address - Country:US
Mailing Address - Phone:786-520-5113
Mailing Address - Fax:
Practice Address - Street 1:15420 SW 136TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-2669
Practice Address - Country:US
Practice Address - Phone:786-520-5113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor