Provider Demographics
NPI:1407049075
Name:ANN T MACINTYRE DO LLC
Entity Type:Organization
Organization Name:ANN T MACINTYRE DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MACINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-858-6365
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:#604
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-858-6365
Mailing Address - Fax:305-854-3632
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:#604
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-858-6365
Practice Address - Fax:305-854-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty