Provider Demographics
NPI:1639695695
Name:TOP CHOICE MEDICAL CARE LLC
Entity Type:Organization
Organization Name:TOP CHOICE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHALON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-331-0371
Mailing Address - Street 1:17201 COLLINS AVE APT 3905
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3485
Mailing Address - Country:US
Mailing Address - Phone:305-331-0371
Mailing Address - Fax:
Practice Address - Street 1:17201 COLLINS AVE APT 3905
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3485
Practice Address - Country:US
Practice Address - Phone:305-331-0371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME101858OtherME LICENSE