Provider Demographics
NPI:1346987005
Name:MIAMI BEACH TMS PLLC
Entity Type:Organization
Organization Name:MIAMI BEACH TMS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DURIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZHDARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-585-1111
Mailing Address - Street 1:4401 ROYAL PALM AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:975 ARTHUR GODFREY RD STE 305
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3350
Practice Address - Country:US
Practice Address - Phone:305-490-1989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty