Provider Demographics
NPI:1730465352
Name:ANN BATES LEACH HOSPITAL/BASCOM PALMER EYE INSTITUTE
Entity Type:Organization
Organization Name:ANN BATES LEACH HOSPITAL/BASCOM PALMER EYE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, DIVISION OF HAND SURGERY
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-326-6590
Mailing Address - Street 1:901 NW 17TH ST
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1135
Mailing Address - Country:US
Mailing Address - Phone:305-326-6000
Mailing Address - Fax:
Practice Address - Street 1:901 NW 17TH ST
Practice Address - Street 2:SUITE 10A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1135
Practice Address - Country:US
Practice Address - Phone:305-326-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNIVERSITY OF MIAMI HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9256543284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital