Basic Information
Provider Information
NPI: 1275962011
EntityType: 2
ReplacementNPI:  
OrganizationName: HOSPITALIST HEALTHCARE SERVICES PLLC
LastName:  
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Mailing Information
Address1: 1643 NW 136TH AVE STE 100
Address2:  
City: SUNRISE
State: FL
PostalCode: 333232857
CountryCode: US
TelephoneNumber: 8004243672
FaxNumber:  
Practice Location
Address1: 3 BARKER AVE
Address2:  
City: WHITE PLAINS
State: NY
PostalCode: 106011509
CountryCode: US
TelephoneNumber: 9149491199
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/02/2013
LastUpdateDate: 10/30/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ISTVAN
AuthorizedOfficialFirstName: DAVID
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AuthorizedOfficialTitleorPosition: OWNER/PRESIDENT
AuthorizedOfficialTelephone: 8656931000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 10/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 
207QG0300X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
207RG0300X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
363A00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363L00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
207R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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