Provider Demographics
NPI:1881245124
Name:PASTEUR MEDICAL CENTER, INC
Entity type:Organization
Organization Name:PASTEUR MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPOULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-448-8100
Mailing Address - Street 1:3250 MARY ST STE 400
Mailing Address - Street 2:
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5232
Mailing Address - Country:US
Mailing Address - Phone:305-448-8100
Mailing Address - Fax:
Practice Address - Street 1:9025 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6440
Practice Address - Country:US
Practice Address - Phone:954-438-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASTEUR MEDICAL CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty