Provider Demographics
NPI:1659891018
Name:POCKETDOC PHYSICIANS PA
Entity Type:Organization
Organization Name:POCKETDOC PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-901-5228
Mailing Address - Street 1:333 SE 2ND AVE STE 2000
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2185
Mailing Address - Country:US
Mailing Address - Phone:305-901-5228
Mailing Address - Fax:305-901-1434
Practice Address - Street 1:333 SE 2ND AVE STE 2000
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2185
Practice Address - Country:US
Practice Address - Phone:305-901-5228
Practice Address - Fax:305-901-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty