Patricia Mistretta in Sunrise - Medical

Patricia Mistretta - NPI 1063441541

Patricia Mistretta is a Medical in Sunrise, Florida. Patricia Mistretta practices all healthcare services and medical treatments related to Medical. The NPI Number for Patricia Mistretta is 1063441541. The last update date is 2008-01-17.

Patricia Mistretta's current location address is 14050 Nw 14th St, Sunrise, Florida. You can contact this provider via phone number 8004243672 and fax number 9543773042. The mailing address for Patricia Mistretta is 14050 Nw 14th St, Sunrise, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Mistretta
Address 14050 Nw 14th St, Sunrise, Florida
Phone Number 8004243672
Fax Number 9543773042
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1063441541
Provider Enumeration Date 2006-06-30
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 14050 Nw 14th St
City Sunrise
State Florida (FL)
Post Code 333232865
Phone Number 8004243672
Fax Number 9543773042

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1896
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00426912 RAILROAD MEDICARE

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FAQs about Patricia Mistretta

What is the unique identifier code issued to Patricia Mistretta by the Centers for Medicare & Medicaid Services?

The Patricia Mistretta has been assigned the NPI (National Provider Identifier) 1063441541. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Patricia Mistretta is physically located?

The Patricia Mistretta is physically situated at the following address: 14050 Nw 14Th St, Sunrise, FL, 333232865.

What is Patricia Mistretta's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patricia Mistretta is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063441541 to Patricia Mistretta?

The Centers for Medicare & Medicaid Services originally issued the 1063441541 to Patricia Mistretta on 2006-06-30.

As of what date was the information pertaining to Patricia Mistretta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Patricia Mistretta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-17.

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