Provider Demographics
NPI:1275588204
Name:HEMORRHOID CENTER OF SOUTH FLORIDA
Entity Type:Organization
Organization Name:HEMORRHOID CENTER OF SOUTH FLORIDA
Other - Org Name:COASTAL SOUTH MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-556-6620
Mailing Address - Street 1:1950 OLD GALLOWS RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3990
Mailing Address - Country:US
Mailing Address - Phone:703-556-6620
Mailing Address - Fax:
Practice Address - Street 1:16800 NW 2ND AVE
Practice Address - Street 2:SUITE 606
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5549
Practice Address - Country:US
Practice Address - Phone:305-492-2226
Practice Address - Fax:305-493-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty