Provider Demographics
NPI:1790986529
Name:DRS AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:DRS AND ASSOCIATES, INC.
Other - Org Name:DRS & ASSOCIATES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-718-9800
Mailing Address - Street 1:10305 NW 41ST ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2396
Mailing Address - Country:US
Mailing Address - Phone:305-718-9800
Mailing Address - Fax:305-718-9080
Practice Address - Street 1:10305 NW 41ST ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2396
Practice Address - Country:US
Practice Address - Phone:305-718-9800
Practice Address - Fax:305-718-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0067088103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376868600Medicaid
FLK6741Medicare ID - Type Unspecified