Provider Demographics
NPI:1982639720
Name:JW BIN MD PA
Entity Type:Organization
Organization Name:JW BIN MD PA
Other - Org Name:INSTITUTE FOR AESTHETIC PLASTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOO
Authorized Official - Middle Name:W
Authorized Official - Last Name:BIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-279-0006
Mailing Address - Street 1:9495 SUNSET DR
Mailing Address - Street 2:SUITE B-150
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3253
Mailing Address - Country:US
Mailing Address - Phone:305-279-0006
Mailing Address - Fax:305-279-0004
Practice Address - Street 1:9495 SUNSET DR
Practice Address - Street 2:SUITE B-150
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3253
Practice Address - Country:US
Practice Address - Phone:305-279-0006
Practice Address - Fax:305-279-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29460261Q00000X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53514AMedicare PIN
FLD56559Medicare UPIN