Provider Demographics
NPI:1417686403
Name:DOCTORS ON CALL 365
Entity Type:Organization
Organization Name:DOCTORS ON CALL 365
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALON
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-824-3800
Mailing Address - Street 1:2610 BASS WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3682
Mailing Address - Country:US
Mailing Address - Phone:302-824-3800
Mailing Address - Fax:
Practice Address - Street 1:9000 SHERIDAN ST STE 171
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8803
Practice Address - Country:US
Practice Address - Phone:786-577-9302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health