Provider Demographics
NPI:1699003707
Name:PROJECT ACCESS FOUNDATION
Entity Type:Organization
Organization Name:PROJECT ACCESS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:ME58713
Authorized Official - Phone:305-284-7500
Mailing Address - Street 1:5240 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1168
Mailing Address - Country:US
Mailing Address - Phone:305-448-4770
Mailing Address - Fax:305-448-9698
Practice Address - Street 1:8000 BISCAYNE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-4621
Practice Address - Country:US
Practice Address - Phone:305-751-5430
Practice Address - Fax:305-751-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center