Provider Demographics
NPI:1275826505
Name:ASSOCIATED MEDICAL MANAGERS, INC.
Entity Type:Organization
Organization Name:ASSOCIATED MEDICAL MANAGERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIX
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-595-5350
Mailing Address - Street 1:8700 N KENDALL DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2206
Mailing Address - Country:US
Mailing Address - Phone:305-595-5350
Mailing Address - Fax:305-595-3445
Practice Address - Street 1:8700 N KENDALL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2206
Practice Address - Country:US
Practice Address - Phone:305-595-5350
Practice Address - Fax:305-595-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0052140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE22429Medicare UPIN