Provider Demographics
NPI:1609900869
Name:MEZEY & KRAINSON MD PA
Entity Type:Organization
Organization Name:MEZEY & KRAINSON MD PA
Other - Org Name:SOUTH FLORIDA SLEEP DIAGNOSTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEZEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-255-0777
Mailing Address - Street 1:12600 SW 120TH ST
Mailing Address - Street 2:SUITE 117
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-9066
Mailing Address - Country:US
Mailing Address - Phone:305-255-0777
Mailing Address - Fax:305-255-1067
Practice Address - Street 1:12600 SW 120TH ST
Practice Address - Street 2:SUITE 117
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-9066
Practice Address - Country:US
Practice Address - Phone:305-255-0777
Practice Address - Fax:305-255-1067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061595100Medicaid
FLCK630AMedicare PIN