Provider Demographics
NPI:1942231808
Name:TSUI, MARIA K (DPM)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:K
Last Name:TSUI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2925 AVENTURA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3124
Mailing Address - Country:US
Mailing Address - Phone:305-466-2778
Mailing Address - Fax:954-985-2003
Practice Address - Street 1:2925 AVENTURA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3124
Practice Address - Country:US
Practice Address - Phone:305-466-2778
Practice Address - Fax:954-985-2003
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO-2540213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390370200Medicaid
FL390370200Medicaid
FL65437Medicare PIN