Provider Demographics
NPI:1497920466
Name:AIDS CLINICAL RESEARCH
Entity Type:Organization
Organization Name:AIDS CLINICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR OF MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-243-3838
Mailing Address - Street 1:1800 NW 10TH AVE
Mailing Address - Street 2:R-60A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1018
Mailing Address - Country:US
Mailing Address - Phone:305-243-3838
Mailing Address - Fax:305-246-5765
Practice Address - Street 1:1800 NW 10TH AVE
Practice Address - Street 2:R-60A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1018
Practice Address - Country:US
Practice Address - Phone:305-243-3838
Practice Address - Fax:305-243-5765
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF MIAMI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6733492251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management