Provider Demographics
NPI:1578108551
Name:RAMBAM MEDICAL LLC
Entity Type:Organization
Organization Name:RAMBAM MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAIEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-967-2600
Mailing Address - Street 1:7081 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3803
Mailing Address - Country:US
Mailing Address - Phone:954-967-2600
Mailing Address - Fax:954-241-3411
Practice Address - Street 1:7081 TAFT ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-3803
Practice Address - Country:US
Practice Address - Phone:954-967-2600
Practice Address - Fax:954-241-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty