Provider Demographics
NPI:1255611026
Name:MARIA J HACHE, MD PA
Entity type:Organization
Organization Name:MARIA J HACHE, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HACHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-455-7437
Mailing Address - Street 1:PO BOX 260211
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:305-455-7437
Mailing Address - Fax:305-455-7435
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:STE 300
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-455-7437
Practice Address - Fax:305-455-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN350208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty